de Gois Speck N M, Pereira E R, Schaper M, Rodrigues D, Almeida P, Sakano C R, Ribalta J C L
NUPREV-Núcleo de Prevenção de Doenças Ginecológicas, Department of Gynecology, UNIFESP-EPM, São Paulo, Brazil.
Eur J Gynaecol Oncol. 2009;30(5):512-3.
Over the years, there have been many deaths due to cervical cancer among indigenous women of the Parque Indigena do Xingu as a consequence of low screening coverage. Since 2005, however, the coverage index of cervical lesion screening has been high: 97.6% among at-risk women in 2005 and 92.6% in 2007. Cytological alterations occurred in 12.6% and 6% of the cases in the respective years. After complete diagnosis and treatment of uterine lesions, by staff trained in lower tract pathology, negative results were seen in all cases of high-grade lesions and invasive neoplasia and no case of invasive carcinoma was detected in 2007. We conclude, therefore, that health actions have been effective in decreasing the incidence of cytological alterations and invasive carcinoma.
多年来，由于筛查覆盖率低，欣古印第安人公园的原住民妇女中有许多人死于宫颈癌。然而，自2005年以来，宫颈病变筛查的覆盖率一直很高：2005年高危女性中的覆盖率为97.6%，2007年为92.6%。在相应年份中，分别有12.6%和6%的病例出现细胞学改变。在经过下生殖道病理学培训的工作人员对子宫病变进行全面诊断和治疗后，所有高级别病变和浸润性肿瘤病例均呈阴性结果，2007年未检测到浸润性癌病例。因此，我们得出结论，健康行动在降低细胞学改变和浸润性癌的发病率方面是有效的。
