Alteraciones morfológicas de lesiones precancerosas como indicador de cáncer de cuello uterino en mujeres atendidas en el HPGDR 2014

Abstract

Morphological alterations of cells were determined in vaginal smears women which were attending in Riobamba General Teaching Hospital in the Pathology Laboratory , with a heterogeneous universe of 5,000 women that were attending in different health centers(Chunchi, Alausi, Guamote, Chambo, Guano) , A descriptive epidemiological study was cond ucted to determine morphological alterations of the squamous and glandular cells in cervical vaginal smears, these were classified according to the Bethesda system, and seeking the prevalence of infectious inflammations . O f the universe studied the results are: 70.65% of smears reported as negative for intraepithelial lesion or malignancy, 24.0% showed infectious inflammations, 2.32% cellular alterations in squamous epithelial cells, atypical cells 1 , 48%, alterations in glandular cells of 0.12%, 0.06% can cer cells, and unsatisfactory for diagnostic evaluation as 1.38%.In conclusion , it was evidenced that smears of women that is the object of our study showed morphological alterations, including cancer, which it could be avoided with continuous training to educate people about the importance of Pap test doing on time. It is recommended that all sexually active women have a screening test (Pap) periodically , if the first test is negative for intraepithelial lesion or malignancy it must implement another test a fter a year and if this remains negative it is recommended a control test after two years , This periodic review will help identify precancerous lesions and prevent t heir progression to malignancy. It will help to improve the women life.