Rastreio do cancro do colo. Programa da Região Centro de Portugal.

Cervical cancer screening is clearly efficient, as can be proved by a simple comparison of the incidence and mortality rates for this neoplasia before and after the implementation of screening programmes in various countries and regions. The Screening Programme of the Central Region of Portugal is d...

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Main Authors: D P da Silva, O Real
Format: Article
Language:English
Published: Ordem dos Médicos 1997-10-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2484
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author D P da Silva
O Real
author_facet D P da Silva
O Real
author_sort D P da Silva
collection DOAJ
description Cervical cancer screening is clearly efficient, as can be proved by a simple comparison of the incidence and mortality rates for this neoplasia before and after the implementation of screening programmes in various countries and regions. The Screening Programme of the Central Region of Portugal is done by the G.P., who collects cytological smears in the Health Centres and sends them to the Cytopathology Laboratory of the Coimbra Cancer Institute (IPO). The IPO not only does the cytological test but also coordinates the programme and is responsible for quality control. To date, 83,173 women have been screened. Although the average participation rate is low (34.5%) some Health Centres have a very high rate, above 90%. The detection rate of pre-malignant lesions by cytology is 4.5%, which falls within the parameters provided by the WHO. The study of these cases confirms the high degree of sensitivity of cytology. For women who were tested a second time, the number of pre-malignant lesions revealed was not significant, so this procedure is more for quality control. When the programme began, only 0.4% of carcinomas were pre-invasive, compared to 42.1% now! Before the programme, only 18.6% of patients were able to be treated surgically, whilst now, 74.4% are able to benefit this way. The main problem continues to be the lack of definitions of the role of the Health Centres in the screening programme.
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spelling doaj.art-9c4195c71bde4578a45163514319fefa2022-12-22T04:30:01ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581997-10-01101010.20344/amp.2484Rastreio do cancro do colo. Programa da Região Centro de Portugal.D P da Silva0O RealCentro de Oncologia de Coimbra.Cervical cancer screening is clearly efficient, as can be proved by a simple comparison of the incidence and mortality rates for this neoplasia before and after the implementation of screening programmes in various countries and regions. The Screening Programme of the Central Region of Portugal is done by the G.P., who collects cytological smears in the Health Centres and sends them to the Cytopathology Laboratory of the Coimbra Cancer Institute (IPO). The IPO not only does the cytological test but also coordinates the programme and is responsible for quality control. To date, 83,173 women have been screened. Although the average participation rate is low (34.5%) some Health Centres have a very high rate, above 90%. The detection rate of pre-malignant lesions by cytology is 4.5%, which falls within the parameters provided by the WHO. The study of these cases confirms the high degree of sensitivity of cytology. For women who were tested a second time, the number of pre-malignant lesions revealed was not significant, so this procedure is more for quality control. When the programme began, only 0.4% of carcinomas were pre-invasive, compared to 42.1% now! Before the programme, only 18.6% of patients were able to be treated surgically, whilst now, 74.4% are able to benefit this way. The main problem continues to be the lack of definitions of the role of the Health Centres in the screening programme.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2484
spellingShingle D P da Silva
O Real
Rastreio do cancro do colo. Programa da Região Centro de Portugal.
Acta Médica Portuguesa
title Rastreio do cancro do colo. Programa da Região Centro de Portugal.
title_full Rastreio do cancro do colo. Programa da Região Centro de Portugal.
title_fullStr Rastreio do cancro do colo. Programa da Região Centro de Portugal.
title_full_unstemmed Rastreio do cancro do colo. Programa da Região Centro de Portugal.
title_short Rastreio do cancro do colo. Programa da Região Centro de Portugal.
title_sort rastreio do cancro do colo programa da regiao centro de portugal
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2484
work_keys_str_mv AT dpdasilva rastreiodocancrodocoloprogramadaregiaocentrodeportugal
AT oreal rastreiodocancrodocoloprogramadaregiaocentrodeportugal