Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/9135
Title: Incidence of cervical intraepithelial lesions in a population of adolescents treated in public health services in Rio de Janeiro, Brazil.
Other Titles: Incidência de lesões intra-epiteliais cervicais em população de adolescentes atendidas em serviço público de saúde no Rio de Janeiro, Brasil
Authors: Monteiro, Denise Leite Maia
Trajano, Alexandre José Baptista
Silva, Kátia Silveira da
Russomano, Fábio Bastos
Affilliation: Centro Universitário Serra dos Órgãos. Rio de Janeiro, Teresópolis, Brasil. / Hospital Geral de Jacarepaguá. Ambulatório de Ginecologia para Adolescentes. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Centro Biomédico. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Abstract: This study aimed to estimate the incidence and types of cervical cytopathological findings in adolescents who were treated in public health services between 1993 and 2006. This is a cohort study, with the following inclusion criteria: < 20 years of age, sexually-active, without cervical le-sions upon entry into the study or sexually ac-tive < 1 year. The data were collected from 403 adolescents’ medical records. Incidence density of cytopathological alterations was estimated and the actuarial method was used to calculate the 5-year incidence during follow-up after sexual ini-tiation. In the first year of sexual activity, the inci-dence of cervical lesions was 24.1%. The incidence decreased to 3-8% over the following 4 years. The incidence density was 4.7 cases per 100 persons per year. The first abnormal cytological diagnosis showed atypical squamous cells of undetermined significance (ASCUS) in 5.5% (22) of patients, low-grade squamous intra-epithelial lesions (LSIL) in 28% (113), and high-grade squamous intraepi-thelial lesions (HSIL) in 3% (12). Eight (67%) cas-es of HSIL occurred during the first year of sexual activity. The incidence of cytopathological find-ings at beginning of sexual life is high, suggesting the importance of including sexually-active ado-lescents in cervical cancer prevention programs
Keywords: Cervical Intraepithelial Neoplasia
Adolescents
Papillomaviridae
DeCS: Neoplasia Intraepitelial Cervical
Adolescente
Papillomaviridae
Issue Date: 2009
Publisher: Universidade de São Paulo, Faculdade de Saúde Pública
Citation: MONTEIRO, Denise Leite Maia. et al. Incidence of cervical intraepithelial lesions in a population of adolescents treated in public health services in Rio de Janeiro, Brazil. Rev. saúde pública., São Paulo, v. 25, n. 5, p. 1113-1122, 2009.
ISSN: 0034-8910
Copyright: open access
Appears in Collections:IFF - Artigos de Periódicos

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