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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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2004-01-01
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Series: | Cadernos de Saúde Pública |
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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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institution | Directory Open Access Journal |
issn | 0102-311X 1678-4464 |
language | English |
last_indexed | 2024-12-20T12:20:18Z |
publishDate | 2004-01-01 |
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series | Cadernos de Saúde Pública |
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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