Profile of women with cervical cancer attended for treatment in oncology center

Abstract

Objectives: to evaluate the sociodemographic, clinical, histopathological, cytopathological and microbiological profile of women with cervical cancer treated at Oncology Center in Pernambuco, located in the city of Caruaru-PE. Methods: a retrospective study was carried out to evaluate the medical records of women with cervical cancer treated for radiotherapy and/or chemotherapy between January 2014 and December 2016. For the analysis of variables, the absolute and relative frequencies were calculated. Results: there was a predominance of cases in the age range between 40 and 59 years (45.37%), non-white race/color (91.75%) and incomplete primary education (44.32%). Squamous carcinoma was present in 85.19% of the cases, with a moderately differentiated histological grade being the most common (53.41%). Most women underwent radiotherapy and associated chemotherapy (72.72%) and had 3 or more pregnancies before diagnosis (73.44%). Cytopathology has more frequently identified high-grade squamous intraepithelial lesion (HSIL) cases (45.83%) and cocci and/or bacilli (66.67%) were the most evident microorganisms. Conclusions: the results showed that the perimenopause age, low educational level, multiparity, cytopathologic result of HSIL and histopathological examination evidencing moderately differentiated squamous cell carcinoma were among the characteristics most related to cervical cancer in the population studied.

Rastreio e associações ao câncer cervical

“…13 Sob esta mesma análise, dentre as 6 pacientes com diagnóstico histopatológico de NIC 2, NIC 3 e CCU (especificamente carcinoma epidermóide), 5 tinham idade maior que 35 anos, sendo aquela diagnosticada com carcinoma epidermóide com 36 anos. Estudos recentes 14,15 detectaram que a faixa etária prevalente de lesão precursora de CCU compreende idades de 26 a 58 anos. O presente estudo mostrou semelhança, com abrangência da faixa etária de 18 a 60 anos.…”

Associação entre variáveis demográficas e estadiamento de câncer cervical em idosas: estudo retrospectivo

“…In this study, low education levels were more prevalent, which corroborates with other studies (8,4) . Women with a low level of education have a higher risk of developing cervical cancer and a higher chance of being diagnosed in advanced stages III and IV (9) , suggesting that these women may not have the necessary knowledge to seek screening/treatment and not recognize the importance of performing the preventive examination (4) .…”

Factors associated to the human papillomavirus in women with cervical cancer

“…As mulheres jovens são consideradas mais susceptíveis à infecção pelo HPV, em função do baixo índice do uso de métodos de proteção, imaturidade imunológica sistêmica ou fisiológica cervical, cir-cunstância que favorece a atividade viral (16) . Assim, os achados corroboram com a literatura, ao apontar que as relações encontradas estão ligadas ao fato de que a incidência de HPV em mulheres mais jovens ocorre devido à coitarca cada vez mais precoce, multiplicidade de parceiros, baixo uso de preservativos e atividades sexuais não programadas (17) .…”