Bioética en la práctica de la colposcopia

Paz-Ibarra, José; García-Ruiz, Víctor Raúl; Rodríguez, Karla Carolina Salas

doi:10.31403/rpgo.v67i2331

Cited by 1 publication

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“…Las variables estudiadas fueron: edad, estado civil, tipo de seguro social, inicio de vida sexual, número de parejas sexuales, diagnóstico citológico de Papanicolaou, resultado de colposcopia (satisfactoria e insatisfactoria), procedimiento realizado, diagnóstico de patología post-colposcopia. Los resultados se presentan en tablas por medio de frecuencias y porcentajes, tabulados en el software SPSS versión 15. existe reporte de "displasia leve" debido a las complicaciones que se pueden presentar con una gestación posterior, se recomienda igualmente seguimiento [10].…”

Section: Materiales Y Métodosunclassified

Estudio Descriptivo: Colposcopia en el diagnóstico de lesiones de cuello uterino en el Hospital de Especialidades José Carrasco Arteaga, Cuenca – Ecuador. 2015-2019

et al. 2021

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BACKGROUND: Cervical cancer is a public health issue, being one of the main causes of morbidity and mortality in developing countries. Cervical cytology (Papanicolaou) is performed for screening and diagnosis of cervical lesions. In case of a suspicious cytology report, colposcopy is an essential procedure for evaluation of the lower genital tract, to detect early lesions and cancer. The aim of this study was to characterize the colposcopy procedures performed, as a diagnostic and therapeutic method, in patients with abnormal Papanicolaou results. METHODS: This is an observational, descriptive cross-sectional study, whose universe were all the patients with abnormal cytological diagnosis in pap smear, who underwent a colposcopy procedure between 2015 and 2019 at Hospital José Carrasco Arteaga, with a total of 1 628 patients. RESULTS: 1 628 colposcopic procedures were included. 55.46% of the population were between 27 to 46 years of age. The predominant marital status was married status (75%). 63.45% of women had their first sexual experience between 21 and 30 years of age. 95.20% of the patients had between 1 and 3 sexual partners. Abnormal pap smear results represent; 37.28% to LSIL, followed by ASC-US (35.81%), and HSIL (14.18%). 67.32% of colposcopies were classified as satisfactory. Biopsy was performed in 71% of the patients, followed by loop electrosurgical excision procedure (LEEP) (13.69%), endocervical curettage in 11.05%. The pathology results reported HSIL in 46.56% of the cases, followed by 22.23% as LSIL and chronic cervicitis in 16.27%, 12.28% of the results were negative. CONCLUSION: Three-quarters of all colposcopies were performed on women between 27 and 56 years of age. The most frequently abnormal Pap smear results were: LSIL, followed ASC-US. 67% of the colposcopies were satisfactory. After colposcopy, biopsy was performed in most of the patients, in lower percentage: loop electrosurgical excision procedure (LEEP), endocervical curettage and diagnostic hysterectomy. Pathology results reported HSIL in 46.56%, LSIL IN 22.23% and chronic cervicitis in 16.27%; 12.28% of studies were negative.

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Section: Materiales Y Métodosunclassified