Cervical intraepithelial neoplasia in adolescents: study of cytological findings between 1987 and 1995 in São Paulo State-Brazil

Abstract. The purpose of the present study was to ascertain the frequency of Pap smears abnormalities (SIL/carcinoma) in two populations in the State of S. Paulo (Brazil) who were screened for cervical cancer during the last nine years: adolescents (up to the age of 21) and adults (over 21). Statist...ical analysis showed a tendency to linear increase in frequency of abnormal Pap smears in both groups (adolescent: slope = 0.118±0.56; adult: slope = 0.079±0.021), being greater in the adolescent group (slope 0.039±0.038) than in the adult group. Between 1987 and 1995 the prevalence of abnormal smears tripled in the adult group (from 0.37 to 1.18) and almost quadruplicated in the adolescent group (from 0.64 to 2.10). Low grade squamous intraepithelial lesions (SIL) were the most frequent findings in cervical cytology in both groups: 92.3% in the adolescent group and 69.8% in the adult group. Few cases of high grade squamous intrapeithelial lesions (HSIL) (7.7%) and no cases of carcinoma were found in adolescent population. We suggested that sexually active adolescents should be included in cervical screening programs. Ausführliche Beschreibung Beschreibung ausblenden

1. Person:	Utagawa, Maria Lucia
Weitere Personen:	Pereira, Sonia Maria Miranda; Cavaliere, Maria José; Maeda, Marina Yoshiê Sakamoto; Shih, Lai Wun Song; Shirata, Neuza Kasumi
Quelle:	in Archives of gynecology and obstetrics Vol. 262 (1998), p. 59-64 Weitere Artikel
Format:	Online-Artikel
Genre:	Key words: Adolescents, Cervical intraepithelial neoplasia, Cervical cancer, Human papillomavirus, Papanicolaou smears
Sprache:	English
Veröffentlicht:	1998
Beschreibung:	Online-Ressource
Online Zugang:	Online
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Anmerkung:	Copyright: Copyright 1998 Springer-Verlag Berlin Heidelberg