Franco Diogo Do Nascimento, Tomáz Adriana Cunha Vargas, Gravena Angela Andréia Franca, Pelloso Sandra Marisa, Consolaro Márcia Edilaine Lopes
Post-Graduate Programme in Health Sciences, State University of Maringá, Paraná, Brazil. Email:
Asian Pac J Cancer Prev. 2017 Sep 27;18(9):2431-2435. doi: 10.22034/APJCP.2017.18.9.2431.
Objective: To evaluate screening by the Papanicolaou smear (Pap) and the frequency of cervical abnormalities in the age range recommended by the Brazilian programme for prevention and control of cervical cancer (CC) in the years 2012 and 2013 in a high prevalence city. Methods: This retrospective study covered results of Pap examinations performed on women aged ≥12 years residing in urban areas of the city of Maringá, Paraná in Brazil. The examinations were performed in the years 2012 and 2013 for the System of Public Health (SPH) which maintains a city database. The age ranges were grouped as recommended into <15-24, 25-64, and >64 years. Results: A total 40,866 women were screened, 19,606 in 2012 and 21,260 in 2013. The Pap exams performed for the age range 25-64 years accounted for 80.7% of the total in 2012 and 80.3% in 2013 (p=0.13), while those for <15 to 24 years accounted for 11.7% and 11.3%, respectively. There were more tests performed in the >64 years age group in 2013 (8.46%) than in 2012 (7.52%) (p<0.001). A total of 1,354 (3.31%) women presented with abnormal test results, with atypical squamous cells of undetermined significance (ASC-US) as the most prevalent finding (2.12%) in 2012, while in 2013 it was LSIL (1.56%) (p<0.001 for both). Women with ASC-US showed a lower mean age than did those with other lesions in both years. Conclusions: This study detected a significant expansion of women screened for CC in age ranges not recommended by the Brazilian government.
评估在一个宫颈癌高流行城市中，2012年和2013年巴西宫颈癌预防与控制项目所推荐年龄范围内的巴氏涂片检查（Pap）筛查情况以及宫颈异常的发生率。方法：这项回顾性研究涵盖了巴西巴拉那州马林加市市区年龄≥12岁女性的Pap检查结果。这些检查于2012年和2013年为维护城市数据库的公共卫生系统（SPH）进行。年龄范围按照推荐分为<15 - 24岁、25 - 64岁和>64岁。结果：总共筛查了40866名女性，2012年为19606名，2013年为21260名。2012年针对25 - 64岁年龄组进行的Pap检查占总数的80.7%，2013年占80.3%（p = 0.13），而<15至24岁年龄组的检查分别占11.7%和11.3%。2013年>64岁年龄组进行的检查（8.46%）多于2012年（7.52%）（p<0.001）。共有1354名（3.31%）女性检查结果异常，意义不明确的非典型鳞状细胞（ASC-US）是2012年最常见的发现（2.12%），而2013年是低度鳞状上皮内病变（LSIL）（1.56%）（两者p均<0.001）。在这两年中，ASC-US女性的平均年龄均低于其他病变女性。结论：本研究发现，在巴西政府未推荐的年龄范围内接受宫颈癌筛查的女性数量显著增加。
