Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazil

This study aimed to estimate and analyze the prevalence of cervical intraepithelial neoplasia (CIN) and invasive cervical carcinoma based on cytological diagnosis. The study included 120,635 women undergoing cytological exams in public health services in the region of Campinas, São Paulo State, Braz...

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Main Authors: d'Ottaviano-Morelli Maria Gabriela L., Zeferino Luiz, Cecatti José Guilherme, Terrabuio Débora Raquel, Martinez Edson Zangiacomi
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2004-01-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2004000100031
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author d'Ottaviano-Morelli Maria Gabriela L.
Zeferino Luiz
Cecatti José Guilherme
Terrabuio Débora Raquel
Martinez Edson Zangiacomi
author_facet d'Ottaviano-Morelli Maria Gabriela L.
Zeferino Luiz
Cecatti José Guilherme
Terrabuio Débora Raquel
Martinez Edson Zangiacomi
author_sort d'Ottaviano-Morelli Maria Gabriela L.
collection DOAJ
description This study aimed to estimate and analyze the prevalence of cervical intraepithelial neoplasia (CIN) and invasive cervical carcinoma based on cytological diagnosis. The study included 120,635 women undergoing cytological exams in public health services in the region of Campinas, São Paulo State, Brazil, between September 1998 and March 1999. Prevalence rates per 100,000 women were: 354 for CIN I; 255 for CIN II; 141 for CIN III; and 24 for invasive carcinoma. As age increased, prevalence rates and prevalence ratios decreased for CIN grades I and II and increased for CIN III until the 50-54 age group, decreasing thereafter The prevalence rate of invasive carcinoma increased with age. The prevalence pattern of CIN II was distinct from that of CIN III, but similar to that of CIN I. This would not have been observed if the Bethesda System had been used for cytological diagnosis. Mean age at time of CIN II diagnosis was about 10 years less than for CIN III diagnosis. Therefore, a high-grade lesion diagnosed in a young woman according to the Bethesda System would probably be a CIN II, whereas in an older woman it would probably be a CIN III.
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spelling doaj.art-cb95270e2e134d5190002ce413f257362022-12-21T19:41:01ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X1678-44642004-01-01201153159Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazild'Ottaviano-Morelli Maria Gabriela L.Zeferino LuizCecatti José GuilhermeTerrabuio Débora RaquelMartinez Edson ZangiacomiThis study aimed to estimate and analyze the prevalence of cervical intraepithelial neoplasia (CIN) and invasive cervical carcinoma based on cytological diagnosis. The study included 120,635 women undergoing cytological exams in public health services in the region of Campinas, São Paulo State, Brazil, between September 1998 and March 1999. Prevalence rates per 100,000 women were: 354 for CIN I; 255 for CIN II; 141 for CIN III; and 24 for invasive carcinoma. As age increased, prevalence rates and prevalence ratios decreased for CIN grades I and II and increased for CIN III until the 50-54 age group, decreasing thereafter The prevalence rate of invasive carcinoma increased with age. The prevalence pattern of CIN II was distinct from that of CIN III, but similar to that of CIN I. This would not have been observed if the Bethesda System had been used for cytological diagnosis. Mean age at time of CIN II diagnosis was about 10 years less than for CIN III diagnosis. Therefore, a high-grade lesion diagnosed in a young woman according to the Bethesda System would probably be a CIN II, whereas in an older woman it would probably be a CIN III.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2004000100031Cervical Intraepithelial NeoplasiaUterine NeoplasmsPrevalence
spellingShingle d'Ottaviano-Morelli Maria Gabriela L.
Zeferino Luiz
Cecatti José Guilherme
Terrabuio Débora Raquel
Martinez Edson Zangiacomi
Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazil
Cadernos de Saúde Pública
Cervical Intraepithelial Neoplasia
Uterine Neoplasms
Prevalence
title Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazil
title_full Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazil
title_fullStr Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazil
title_full_unstemmed Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazil
title_short Prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of Campinas, São Paulo, Brazil
title_sort prevalence of cervical intraepithelial neoplasia and invasive carcinoma based on cytological screening in the region of campinas sao paulo brazil
topic Cervical Intraepithelial Neoplasia
Uterine Neoplasms
Prevalence
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2004000100031
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