Trend of cervical intraepithelial neoplasm grade- III and evolution of patients
Keywords:
CERVIX UTERI /injuries/trends, UTERINE CERVICAL NEOPLASMS, PAPILLOMA.Abstract
Introduction: the trend of grade-III cervical intraepithelial neoplasm and its impact on patients is unknown.
Objectives: to estimate the trend and evolution of grade-III cervical intraepithelial neoplasia (CIN III) in Pinar del Río during the period 2004-2014.
Method: two-stage study. First: observational, retrospective, cross-sectional to determine the annual incidence of injuries (CIN III) and second: the temporal trend of them, as well as the evolution of patients.
Results: the average annual incidence rate in women aged 15 years and over was 64.6x100 000 women, while in women involve in the screening program was 83.5x100 000. The difference between the concluding moment and the preliminary moment, it reported a annual increase of 27.6%. The average age for the diagnosis of CIN III-CIS was: 37.87 ± 10.6 years (range 15-81 years). Guane and Mantua were the municipalities with the highest incidence. More than 50% showed histological signs of HPV infection. The assessment of the edges involved in conization did not report cases of micro-invasive or invasive carcinoma. The lethality reported in these women was zero percent.
Conclusions: there is an increase in the detection of NIC III-CIS lesions. Guane and Mantua were the municipalities with the highest rates of incidence. The number of sexual partners and human papillomavirus infection are risk factors for the disease, not the age of cohabitation. The correct implementation of procedures has allowed no invasion or death to occur.
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