Clinical and morphological study of high-grade cervical lesions. Abel Santamaría Cuadrado General Teaching Hospital, 2019-2021
Keywords:
NECK INJURIES, RISK FACTORS, HUMAN PAPILLOMAVIRUSZ, ALPHAPAPILLOMAVIRUS.Abstract
Introduction: cervical intraepithelial neoplasia is a lesion where part of the thickness of the epithelium is replaced by cells with atypia.
Objective: to clinically and morphologically characterize high-grade cervical lesions in patients at the "Abel SantamaríaCuadrado" Hospital in 2019 - 2021.
Methods: an observational, descriptive and cross-sectional study was conducted. The universe was represented by 472 patients who underwent hysterectomy, conization or cervical amputation, matching the sample intentionally. The test of dependence or homogeneity of proportions was used for qualitative and quantitative data, as well as the Chi-square test.
Results: there was a predominance of patients with white skin color and the most frequent ages were between 15 and 29 years old. According to colposcopic findings and age, there was a preponderance of negative Schiller tests and within the positive ones, the most frequent group was between 40-49 years old. In terms of histological classification, High Grade CIN II cervical lesions were more frequent in most age groups. Given the degree of edge involvement in a conization, there is a superiority of free edges. The most frequent were infection by the Human Papilloma Virus, and early age of first sexual intercourse.
Conclusions: early diagnosis and adequate control of risk factors are the necessary tools to reduce mortality attributable to cervical-uterine cancer.
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