Cellular changes diagnosed by cérvico-vaginal cytology in a public health laboratory of Teresina-PI

Abstract

<p>Cervical cancer is one of the most common malignant diseases of women, which begins with precursor lesions that can progress to become invasive cancers. However, its development can be prevented by cytology screening and appropriate treatment. This study aimed to verify the frequency of the cellular alterations of the female genital tract in women assisted by a clinical laboratory of Teresina – Piaui, Brazil, in 2016. The data were collected from the cervical cytology reports of 2016. 9040 reports were analyzed, among which 8,095 (89.55%) had negative oncology and 945 (10.45%) were positive. It was identified 1.97% of squamous cells of indeterminate significance, with 5.84%, low-grade intraepithelial lesions (LSIL), 1.33% of high-grade intraepithelial lesions, 1.25% of glandular cell atypia (ACG) and 0.06% of invasive squamous cell carcinoma. Regarding the level of schooling, women who did not complete elementary school corresponded to the higher percentage to attend to cytopathological exams. It is concluded that the incidence of atypia was considerably higher than described in the literature. Thus, it is recommended the adoption of strategies of health promotion designed to improve the cytopathological care.</p>