Cervical smear Archives - Revista Brasileira de Ginecologia e Obstetrícia
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(1):25-31
DOI 10.1590/S0100-72031999000100005
Purpose: This epidemiological census on health conditions of women ranging from 20 to 49 years of age was carried out at Vila Santos Dumont, Pelotas, RS, in order to quantify actions to reorganize the service developed at the local health center. Methods: Information was collected regarding age, level of education, if living with a partner, health service utilization, antenatal care characteristics, cervical cancer screening, physical breast examination and contraceptive methods used. Results: Among the 411 women, 343 (83.5%) had a medical visit during the last year. There were 18 (4.4%) pregnant women. Eighty percent of the women had a cervical smear in the past three years. We found that 47.4% of the women had their breast examined in the last year. Among the 279 women currently using some contraceptive method, 62.4% used the pill, 14.0% had performed surgical sterilization and 7.9% used IUD. Conclusions: This study was women's health diagnosis. It became possible to incorporate the epidemiological method in the health center care planning. We discuss some health actions developed to improve the community care.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(1):25-31
DOI 10.1590/S0100-72031999000100005
Purpose: This epidemiological census on health conditions of women ranging from 20 to 49 years of age was carried out at Vila Santos Dumont, Pelotas, RS, in order to quantify actions to reorganize the service developed at the local health center. Methods: Information was collected regarding age, level of education, if living with a partner, health service utilization, antenatal care characteristics, cervical cancer screening, physical breast examination and contraceptive methods used. Results: Among the 411 women, 343 (83.5%) had a medical visit during the last year. There were 18 (4.4%) pregnant women. Eighty percent of the women had a cervical smear in the past three years. We found that 47.4% of the women had their breast examined in the last year. Among the 279 women currently using some contraceptive method, 62.4% used the pill, 14.0% had performed surgical sterilization and 7.9% used IUD. Conclusions: This study was women's health diagnosis. It became possible to incorporate the epidemiological method in the health center care planning. We discuss some health actions developed to improve the community care.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(3):135-139
DOI 10.1590/S0100-72032000000300003
Purpose: to assess clinical, colposcopic profile and follow-up of patients with a cytological report of atypical squamous cells of undetermined significance (ASCUS). Methods: a total of 208 cases of ASCUS diagnosed between 1996 e 1998 were analyzed retrospectively regarding age, symptoms, colposcopy and follow-up. Results: the ASCUS:SIL (squamous intraepithelial lesion) ratio reported was 1:1.2, showing an adequate quality control. Most of the patients were between 15 and 35 years old (72.6 %). The majority referred no symptoms (36.5 %). The colposcopy showed (n = 58) the atypical zone of transformation in 60% of the cases. The subclassification into ASCUS favoring a dysplasia (ASCUS--D), reactive process (ASCUS-R) and unqualified (ASCUS-U) showed that 65% of cases belonged to the first category (ASCUS-D). In the follow-up of 86 patients for 3 to 6 months (average of 4.5 months), 12.5% had a subsequent SIL. Conclusion: the findings of this study indicate that ASCUS occurrence in young women with common symptoms, is frequent and there is the possibility of diagnosing by colposcopy. The follow-up is very important to define the concurrent or subsequent development of a squamous intraepithelial lesion.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(3):135-139
DOI 10.1590/S0100-72032000000300003
Purpose: to assess clinical, colposcopic profile and follow-up of patients with a cytological report of atypical squamous cells of undetermined significance (ASCUS). Methods: a total of 208 cases of ASCUS diagnosed between 1996 e 1998 were analyzed retrospectively regarding age, symptoms, colposcopy and follow-up. Results: the ASCUS:SIL (squamous intraepithelial lesion) ratio reported was 1:1.2, showing an adequate quality control. Most of the patients were between 15 and 35 years old (72.6 %). The majority referred no symptoms (36.5 %). The colposcopy showed (n = 58) the atypical zone of transformation in 60% of the cases. The subclassification into ASCUS favoring a dysplasia (ASCUS--D), reactive process (ASCUS-R) and unqualified (ASCUS-U) showed that 65% of cases belonged to the first category (ASCUS-D). In the follow-up of 86 patients for 3 to 6 months (average of 4.5 months), 12.5% had a subsequent SIL. Conclusion: the findings of this study indicate that ASCUS occurrence in young women with common symptoms, is frequent and there is the possibility of diagnosing by colposcopy. The follow-up is very important to define the concurrent or subsequent development of a squamous intraepithelial lesion.
