Silva Diego Salvador Muniz da, Silva Ana Maria Nogueira, Brito Luciane Maria Oliveira, Gomes Sinara Regina Lisboa, Nascimento Maria do Desterro Soares Brandão, Chein Maria Bethânia da Costa
Universidade Federal do Maranhão, São Luís, MA, Brasil,
Secretaria do Estado de Saúde do Maranhão.
Cien Saude Colet. 2014 Apr;19(4):1163-70. doi: 10.1590/1413-81232014194.00372013.
The scope of the study was to analyze the screening for cervical cancer in the state of Maranhão using secondary data from the Cervical Cancer Information System (SISCOLO). A retrospective descriptive study was conducted using secondary data from 139505 cytopathology exams recorded in SISCOLO in Maranhão in 2011. The variables: age, education, adequacy of material, represented epithelia, microbiology and cellular changes detected in Pap smear tests were selected. The age group between 25 to 29 years and incomplete basic schooling were the most frequent findings. The most common microbiological agents detected were bacilli (52.8%), cocci (45.5%) and Lactobacillus sp (32.6%). Inflammation was the most common benign cellular alteration (86.3%). Low-grade intraepithelial lesions were the most prevalent atypical findings in squamous cells (0.6%), followed by high-grade squamous intraepithelial lesions (0.2%). Squamous cell carcinoma was observed in 0.003% and 0.006% for adenocarcinoma. SISCOLO proved a useful tool for studying aspects related to cancer screening of the cervix, which can orient actions to reduce the incidence and mortality from this cancer.
本研究的范围是利用宫颈癌信息系统（SISCOLO）的二手数据，分析马拉尼昂州的宫颈癌筛查情况。采用2011年马拉尼昂州SISCOLO记录的139505例细胞病理学检查的二手数据进行回顾性描述性研究。选取了以下变量：年龄、教育程度、材料充足性、代表上皮、微生物学以及巴氏涂片检查中检测到的细胞变化。25至29岁年龄组和基础教育不完全是最常见的结果。检测到的最常见微生物是杆菌（52.8%）、球菌（45.5%）和乳酸杆菌属（32.6%）。炎症是最常见的良性细胞改变（86.3%）。低度上皮内病变是鳞状细胞中最常见的非典型发现（0.6%），其次是高度鳞状上皮内病变（0.2%）。观察到鳞状细胞癌为0.003%，腺癌为0.006%。SISCOLO被证明是研究宫颈癌筛查相关方面的有用工具，可为降低该癌症的发病率和死亡率的行动提供指导。
