medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2021, Number 12

<< Back Next >>

Ginecol Obstet Mex 2021; 89 (12)

Prevalence of high-grade intraepithelial lesions in women aged 15-25 years with cytology report of human papillomavirus infection

Mayorga-Bautista CD, Romo-Rodríguez MR, Villarreal-Ríos E, Vargas-Daza ER, Galicia-Rodríguez L, Robledo-Abarca OM

Language: Spanish
References: 12
Page: 949-955
PDF size: 185.20 Kb.


ABSTRACT

Objective: To know the prevalence of high-grade intraepithelial lesions in women aged 15 to 25 years, with a cytology report of changes in the epithelium attributable to human papillomavirus infection.
Materials and Methods: Retrospective, tranversal and descriptive study performed at the Dysplasia Clinic of the Regional General Hospital 1 of Querétaro, Mexico, from January 2015 to December 2020. Inclusion criteria: files of women aged 15 to 25 years with report of changes in the epithelium attributable to HPV infection reported on cytology. Exclusion criteria: incomplete records. The statistical analysis plan included: averages, confidence intervals for averages, percentages, and confidence interval for percentages.
Results: We reviewed 823 files with cytology reports of epithelial changes attributable to HPV infection. The mean age of the women was 23.28 years (95%CI: 23.24-23.52), the mean age at sexual debut was 16.01 years (95%CI: 15.92-16.10). 7.0% (95%CI: 5.3-8.7) had high-grade intraepithelial lesions on cytology and colposcopy.
Conclusion: The prevalence of high-grade intraepithelial lesions in women aged 15-25 years with reported epithelial changes attributable to HPV infection is 7.0% for cytology and for colposcopy.


REFERENCES

  1. Ferlay J, Soerjomataram I, Dikshit, R, Eser, S, et al. Cancer incidence and mortality worldwide: Sources, methods, and major patterns in GLOBOCAN 2012. Int J Cancer 2015; 136 (5): E359-E386. https://doi.org/10.1002/IJC.29210/EPDF

  2. Solís JG, Briones-Torres TI. Prevalence of intraepithelial lesion in cervical screening cytology in a First-level Care Unit. Rev Med Inst Mex Seguro Soc 2018; 56 (2): 167-72. http://www.ncbi.nlm.nih.gov/pubmed/29902371

  3. Trujillo PT, Domínguez B, Ríos HM, et al. Prevalencia del virus del papiloma humano en mujeres con citología negativa. Revista Cubana de Obstetricia y Ginecología 2017; 43 (1): 1-13. http://scielo.sld.cu/pdf/gin/v43n1/gin17117.pdf

  4. Goldie S, Grima D, Kohli M, et al. A comprehensive natural history model of HPV infection and cervical cancer to estimate the clinical impact of a prophylactic HPV-16/18 vaccine. Int J Cancer 2003; 106 (6): 896-904. https://doi. org/10.1002/ijc.11334

  5. Fontham E, Wolf M, Church R, Etzioni R, et al. Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society. Cancer Journal for Clinicians 2020; 70 (5): 321-46. https://doi. org/10.3322/CAAC.21628

  6. Martínez M, Sarduy R, Rodríguez L. Lesiones intraepiteliales cervicales en la adolescencia. Arch Med Actual Trac Gen Inf 2014; 6 (11): https://www.medigraphic.com/pdfs/ archivostgi/tgi-2014/tgi1411f.pdf

  7. Mendoza T, Luis Alfonso, et al. Prevalencia de lesiones de bajo y alto grado de cuello uterino en una ciudad colombiana. Revista Chilena de Obstetricia y Ginecología 2012; 77 (2): 129-36. https://doi:10.4067/S0717- 75262012000200009

  8. De Sousa K, Colmenares E. Prevalencia de lesiones intraepiteliales cervicales de bajo y alto grado en pacientes en edad fértil. Revista Digital de Postgrado 2019; 8 (3). http:// orcid.org/0000-0003-1631-594X

  9. Segura E, Segura S. Factores de riesgo en lesiones intraepiteliales de cuello uterino en las usuarias del Hospital Central de la Policía Nacional 2009-2010). Revista Logos, Ciencia & Tecnología 2019; 12 (1). http://doi:10.22335/ rlct.v4i1.1

  10. Sociedad Mexicana de Oncología. Primer Consenso Nacional de Prevención, Diagnóstico y Tratamiento del Cáncer Cervicouterino. Gaceta Mexicana de Oncología 2014; 13 (4). https://www.gamosmeo.com/previous/ archivos/2014/GAMO_V13_Supl_4.pdf

  11. Velázquez C, Kawabata A, Ríos-González C. Prevalence of precursor lesions of cervical cancer and sexual/reproductive antecedents of natives of C. Rev Salud Pública Parag 2018; 8 (2): 15-20. http://fi-admin.bvsalud.org/document/ view/65u35

  12. Medina B, Gonzalo A, Prevalencia de infección por genotipos del virus del papiloma humano en mujeres con atipia de células escamosas de significado incierto. Ginecol Obstet Mex 2021; 88 (7): 437-41. https://doi.org/10.24245/ gom.v88i7.4167




2020     |     www.medigraphic.com