Manejo clínico do primeiro relatório ASCUS no Chile. Estudo prospectivo de coorte única

Fanny López-Alegría, Orlando Quezada Poblete, Dino Soares De Lorenzi, Juan Carlos Sepúlveda Oyanedel

Resultado de la investigación: Article

7 Citas (Scopus)

Resumen

CONTEXT AND OBJECTIVE: Worldwide, there is no single strategy for optimal management of patients with ASCUS (atypical squamous cells of undetermined significance) cytology reports. The objective of this study was to determine the kind of clinical management conducted among women with a first ASCUS Pap smear report. DESIGN AND SETTING: Prospective single cohort study at a cervical pathology unit in Santiago, Chile. METHODS: This was an epidemiological, descriptive, observational and quantitative follow-up study on a cohort of women with ASCUS cytological reports. RESULTS: In the screening phase, 92,001 cervical cytological smears were collected in primary healthcare clinics. In the diagnostic phase, all women with a first ASCUS report were selected (n = 446). These women were asked to undergo the Pap test again and it was found that 301 women had normal results, 62 women had abnormal results and 83 did not repeat the test. In the diagnostic confirmation phase, the 62 women with abnormal results underwent colposcopy and, from these results, 58 of them underwent a biopsy. The results from the biopsies showed that 16 women had negative histological reports, 13 had CIN 1 and 29 had CIN 2+. In the treatment phase, the 42 women with lesions underwent a variety of treatments, according to the type of lesion. In the post-treatment phase, cytological and colposcopic monitoring was instituted. CONCLUSION: The clinical management consisted of traditional management of screening, diagnosis, diagnostic confirmation, treatment and post-treatment monitoring.

Idioma originalPortuguese
Páginas (desde-hasta)480-487
Número de páginas8
PublicaciónSao Paulo Medical Journal
Volumen133
N.º6
DOI
EstadoPublished - 1 nov 2015

Huella dactilar

Chile
Cohort Studies
Papanicolaou Test
Biopsy
Therapeutics
Atypical Squamous Cells of the Cervix
Colposcopy
Vaginal Smears
Cell Biology
Primary Health Care
Pathology

ASJC Scopus subject areas

  • Medicine(all)

Citar esto

@article{b8e2a80a2d7a47a986b0daa4055f30aa,
title = "Manejo cl{\'i}nico do primeiro relat{\'o}rio ASCUS no Chile. Estudo prospectivo de coorte {\'u}nica",
abstract = "CONTEXT AND OBJECTIVE: Worldwide, there is no single strategy for optimal management of patients with ASCUS (atypical squamous cells of undetermined significance) cytology reports. The objective of this study was to determine the kind of clinical management conducted among women with a first ASCUS Pap smear report. DESIGN AND SETTING: Prospective single cohort study at a cervical pathology unit in Santiago, Chile. METHODS: This was an epidemiological, descriptive, observational and quantitative follow-up study on a cohort of women with ASCUS cytological reports. RESULTS: In the screening phase, 92,001 cervical cytological smears were collected in primary healthcare clinics. In the diagnostic phase, all women with a first ASCUS report were selected (n = 446). These women were asked to undergo the Pap test again and it was found that 301 women had normal results, 62 women had abnormal results and 83 did not repeat the test. In the diagnostic confirmation phase, the 62 women with abnormal results underwent colposcopy and, from these results, 58 of them underwent a biopsy. The results from the biopsies showed that 16 women had negative histological reports, 13 had CIN 1 and 29 had CIN 2+. In the treatment phase, the 42 women with lesions underwent a variety of treatments, according to the type of lesion. In the post-treatment phase, cytological and colposcopic monitoring was instituted. CONCLUSION: The clinical management consisted of traditional management of screening, diagnosis, diagnostic confirmation, treatment and post-treatment monitoring.",
keywords = "Diagnosis, Follow-up studies, Papanicolaou test, Practice guidelines as topic, Uterine cervical dysplasia",
author = "Fanny L{\'o}pez-Alegr{\'i}a and Poblete, {Orlando Quezada} and {De Lorenzi}, {Dino Soares} and Oyanedel, {Juan Carlos Sep{\'u}lveda}",
year = "2015",
month = "11",
day = "1",
doi = "10.1590/1516-3180.2014.9142511",
language = "Portugu{\'e}s",
volume = "133",
pages = "480--487",
journal = "Sao Paulo Medical Journal",
issn = "1516-3180",
publisher = "Associacao Paulista de Medicina",
number = "6",

}

Manejo clínico do primeiro relatório ASCUS no Chile. Estudo prospectivo de coorte única. / López-Alegría, Fanny; Poblete, Orlando Quezada; De Lorenzi, Dino Soares; Oyanedel, Juan Carlos Sepúlveda.

En: Sao Paulo Medical Journal, Vol. 133, N.º 6, 01.11.2015, p. 480-487.

Resultado de la investigación: Article

TY - JOUR

T1 - Manejo clínico do primeiro relatório ASCUS no Chile. Estudo prospectivo de coorte única

AU - López-Alegría, Fanny

AU - Poblete, Orlando Quezada

AU - De Lorenzi, Dino Soares

AU - Oyanedel, Juan Carlos Sepúlveda

PY - 2015/11/1

Y1 - 2015/11/1

N2 - CONTEXT AND OBJECTIVE: Worldwide, there is no single strategy for optimal management of patients with ASCUS (atypical squamous cells of undetermined significance) cytology reports. The objective of this study was to determine the kind of clinical management conducted among women with a first ASCUS Pap smear report. DESIGN AND SETTING: Prospective single cohort study at a cervical pathology unit in Santiago, Chile. METHODS: This was an epidemiological, descriptive, observational and quantitative follow-up study on a cohort of women with ASCUS cytological reports. RESULTS: In the screening phase, 92,001 cervical cytological smears were collected in primary healthcare clinics. In the diagnostic phase, all women with a first ASCUS report were selected (n = 446). These women were asked to undergo the Pap test again and it was found that 301 women had normal results, 62 women had abnormal results and 83 did not repeat the test. In the diagnostic confirmation phase, the 62 women with abnormal results underwent colposcopy and, from these results, 58 of them underwent a biopsy. The results from the biopsies showed that 16 women had negative histological reports, 13 had CIN 1 and 29 had CIN 2+. In the treatment phase, the 42 women with lesions underwent a variety of treatments, according to the type of lesion. In the post-treatment phase, cytological and colposcopic monitoring was instituted. CONCLUSION: The clinical management consisted of traditional management of screening, diagnosis, diagnostic confirmation, treatment and post-treatment monitoring.

AB - CONTEXT AND OBJECTIVE: Worldwide, there is no single strategy for optimal management of patients with ASCUS (atypical squamous cells of undetermined significance) cytology reports. The objective of this study was to determine the kind of clinical management conducted among women with a first ASCUS Pap smear report. DESIGN AND SETTING: Prospective single cohort study at a cervical pathology unit in Santiago, Chile. METHODS: This was an epidemiological, descriptive, observational and quantitative follow-up study on a cohort of women with ASCUS cytological reports. RESULTS: In the screening phase, 92,001 cervical cytological smears were collected in primary healthcare clinics. In the diagnostic phase, all women with a first ASCUS report were selected (n = 446). These women were asked to undergo the Pap test again and it was found that 301 women had normal results, 62 women had abnormal results and 83 did not repeat the test. In the diagnostic confirmation phase, the 62 women with abnormal results underwent colposcopy and, from these results, 58 of them underwent a biopsy. The results from the biopsies showed that 16 women had negative histological reports, 13 had CIN 1 and 29 had CIN 2+. In the treatment phase, the 42 women with lesions underwent a variety of treatments, according to the type of lesion. In the post-treatment phase, cytological and colposcopic monitoring was instituted. CONCLUSION: The clinical management consisted of traditional management of screening, diagnosis, diagnostic confirmation, treatment and post-treatment monitoring.

KW - Diagnosis

KW - Follow-up studies

KW - Papanicolaou test

KW - Practice guidelines as topic

KW - Uterine cervical dysplasia

UR - http://www.scopus.com/inward/record.url?scp=84954322428&partnerID=8YFLogxK

U2 - 10.1590/1516-3180.2014.9142511

DO - 10.1590/1516-3180.2014.9142511

M3 - Article

C2 - 26465817

AN - SCOPUS:84954322428

VL - 133

SP - 480

EP - 487

JO - Sao Paulo Medical Journal

JF - Sao Paulo Medical Journal

SN - 1516-3180

IS - 6

ER -