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欣古印第安人保护区年轻及老年女性的宫颈癌筛查:巴西推荐筛查年龄组的评估

Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil.

作者信息

Speck Neila Maria de Góis, Pinheiro Juliana da Silva, Pereira Erica Ribeiro, Rodrigues Douglas, Focchi Gustavo Rubino de Azevedo, Ribalta Julisa Chamorro Lascasas

机构信息

Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2015 Jan-Mar;13(1):52-7. doi: 10.1590/S1679-45082015AO3222.

DOI:10.1590/S1679-45082015AO3222
PMID:25993069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4977587/
Abstract

OBJECTIVE

To analyze the occurrence of atypia in the cytology/histology examinations of young women under the age of 25 years and of elderly women aged over 64 years, in the Xingu Indigenous Park and to evaluate, in a subjective manner, if the age range for screening established by the Ministry of Health and the Instituto Nacional de Câncer is appropriate for this population.

METHODS

The Xingu/UNIFESP Project, in partnership with the Center for Gynecological Disease Prevention, develops programs to prevent cervical cancer. The exploratory, retrospective and descriptive study of cytological and histopathological examinations of young (12-24 years) and elderly (aged 64 and over) women of the Xingu Indigenous Park, between 2005 and 2011.

RESULTS

There was low occurrence of cytological atypia in the elderly female population, but there were occasional high-grade lesions in the indigenous youth.

CONCLUSION

Interrupting screening at the limit age of 64 years, as established by the Ministry of Health and the Instituto Nacional de Câncer is justified. However, screening of young women should begin at an earlier age.

摘要

目的

分析新谷原住民公园25岁以下年轻女性和64岁以上老年女性细胞学/组织学检查中异型性的发生情况,并主观评估卫生部和国家癌症研究所确定的筛查年龄范围对该人群是否合适。

方法

新谷/圣保罗联邦大学项目与妇科疾病预防中心合作,开展宫颈癌预防项目。对2005年至2011年间新谷原住民公园年轻(12 - 24岁)和老年(64岁及以上)女性的细胞学和组织病理学检查进行探索性、回顾性和描述性研究。

结果

老年女性人群中细胞学异型性发生率较低,但原住民青年中偶尔有高级别病变。

结论

卫生部和国家癌症研究所确定的64岁上限年龄停止筛查是合理的。然而,年轻女性的筛查应更早开始。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7334/4977587/f95b059ad8ba/1679-4508-eins-13-1-052-gt01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7334/4977587/9d0650b2cab3/1679-4508-eins-13-1-052-gt01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7334/4977587/f95b059ad8ba/1679-4508-eins-13-1-052-gt01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7334/4977587/9d0650b2cab3/1679-4508-eins-13-1-052-gt01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7334/4977587/f95b059ad8ba/1679-4508-eins-13-1-052-gt01-pt.jpg

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本文引用的文献

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Recommendations on screening for cervical cancer.宫颈癌筛查建议。
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2
American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer.美国癌症协会、美国阴道镜和宫颈病理学会以及美国临床病理学会宫颈癌预防和早期检测筛查指南。
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Is the treatment of CIN 2 always necessary in women under 25 years old?
阿尼什纳贝克族宫颈癌筛查研究(ACCSS)中的自我采样与医护人员指导采样:对加拿大第一民族女性的定性调查
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Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations.巴西原住民在癌症流行病学及医疗服务方面的差异。
Einstein (Sao Paulo). 2016 Jul-Sep;14(3):330-337. doi: 10.1590/S1679-45082016AO3754.
对于 25 岁以下的女性,是否一定需要治疗 CIN2?
Am J Obstet Gynecol. 2011 Nov;205(5):478.e1-7. doi: 10.1016/j.ajog.2011.06.069. Epub 2011 Jun 25.
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Cytopathological screening in indigenous women from Parque Indigena do Xingu.对来自欣古印第安人保护区的原住民妇女进行细胞病理学筛查。
Eur J Gynaecol Oncol. 2009;30(5):512-3.
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Incidence of cervical intraepithelial lesions in a population of adolescents treated in public health services in Rio de Janeiro, Brazil.巴西里约热内卢公共卫生服务机构所治疗的青少年人群中宫颈上皮内病变的发病率。
Cad Saude Publica. 2009 May;25(5):1113-22. doi: 10.1590/s0102-311x2009000500018.
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ACOG Committee Opinion No. 436: evaluation and management of abnormal cervical cytology and histology in adolescents.
Obstet Gynecol. 2009 Jun;113(6):1422-1425. doi: 10.1097/AOG.0b013e3181ac06e0.
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Evidence for frequent regression of cervical intraepithelial neoplasia-grade 2.宫颈上皮内瘤变2级频繁消退的证据。
Obstet Gynecol. 2009 Jan;113(1):18-25. doi: 10.1097/AOG.0b013e31818f5008.
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Natural history of cervical neoplasia and risk of invasive cancer in women with cervical intraepithelial neoplasia 3: a retrospective cohort study.宫颈上皮内瘤变3级女性的宫颈肿瘤自然史及浸润癌风险:一项回顾性队列研究
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