Rastreamento do câncer de colo uterino em jovens e idosas do Parque Indígena do Xingu: avaliação quanto à faixa etária preconizada no Brasil
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open access
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2015
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
Alternative Title
Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil
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Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
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Abstract
Objective To analyze the occurrence of atypia in the cytology/histology examinations of young women under the age of 25 years and of elderly women aged over 64 years, in the Xingu Indigenous Park and to evaluate, in a subjective manner, if the age range for screening established by the Ministry of Health and the Instituto Nacional de Câncer is appropriate for this population. Methods The Xingu/UNIFESP Project, in partnership with the Center for Gynecological Disease Prevention, develops programs to prevent cervical cancer. The exploratory, retrospective and descriptive study of cytological and histopathological examinations of young (12-24 years) and elderly (aged 64 and over) women of the Xingu Indigenous Park, between 2005 and 2011. Results There was low occurrence of cytological atypia in the elderly female population, but there were occasional high-grade lesions in the indigenous youth. Conclusion Interrupting screening at the limit age of 64 years, as established by the Ministry of Health and the Instituto Nacional de Câncer is justified. However, screening of young women should begin at an earlier age. , Objetivo Analisar a ocorrência de atipias nos exames citológicos e histológicos de jovens e idosas indígenas, e também avaliar se a faixa etária preconizada pelo Ministério da Saúde e pelo Instituto Nacional de Câncer em rastreamento do câncer de colo uterino é adequada para essa população. Métodos O Projeto Xingu/UNIFESP, em parceria com o Núcleo de Prevenção de Doenças Ginecológicas, desenvolve programas de prevenção do câncer do colo de útero. Foi realizado estudo exploratório, retrospectivo e descritivo de exames cito/histopatológicos em jovens do Parque Indígena do Xingu de 12 a 24 anos e em idosas a partir dos 64 anos, no período de 2005 a 2011. Resultados Em idosas, houve baixa ocorrência de atipias citológicas, mas nas jovens indígenas, ocorreram casos eventuais de lesão de alto grau. Conclusão Justifica respeitar o limite de 64 anos para a interrupção do rastreamento, como o estabelecido pelo Ministério da Saúde/Instituto Nacional de Câncer, mas, nas jovens, seria importante iniciar o rastreamento mais precocemente.
Abstract
Objective: To analyze the occurrence of atypia in the cytology/histology
examinations of young women under the age of 25 years and of
elderly women aged over 64 years, in the Xingu Indigenous Park and
to evaluate, in a subjective manner, if the age range for screening
established by the Ministry of Health and the Instituto Nacional
de Câncer is appropriate for this population. Methods: The Xingu/
UNIFESP Project, in partnership with the Center for Gynecological
Disease Prevention, develops programs to prevent cervical cancer. The exploratory, retrospective and descriptive study of cytological
and histopathological examinations of young (12-24 years) and elderly
(aged 64 and over) women of the Xingu Indigenous Park, between 2005
and 2011. Results: There was low occurrence of cytological atypia
in the elderly female population, but there were occasional high-grade
lesions in the indigenous youth. Conclusion: Interrupting screening
at the limit age of 64 years, as established by the Ministry of Health
and the Instituto Nacional de Câncer is justified. However, screening of
young women should begin at an earlier age
Abstract in Spanish
Abstract in French
Description
Keywords in Portuguese
Mato Grosso, Região Amazônica, Região Centro-Oeste, Parque Indígena do Xingu, Mulheres Indígenas, Doenças e Agravos Não Transmissíveis
Keywords
Brazil, Health of Indigenous Peoples, Indians, South American, Uterine Cervical Neoplasms, Women's Health
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Keywords in French
DeCS
Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Saúde da Mulher, Neoplasias do Colo do Útero
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SPECK, Neila Maria de Góis; et al. Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil. Einstein, São Paulo, v. 13, n. 1, p. 52-57, 2015
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1679-4508
DOI
10.1590/S1679-45082015AO3222