2009, Number 1
123 Mujeres con Lesión Escamosa Intraepitelial de Bajo Grado y Manejo en Espera, atendidas en la Clínica de Colposcopia: Servicio Oncología, Hospital Civil Fray Antonio Alcalde, Guadalajara, Jal., e Instituto Jalisciense de Cancerología, de la Secretaria de Salud en Jalisco
Language: Spanish
References: 18
Page: 6-9
PDF size: 54.21 Kb.
ABSTRACT
Introduction: Reported Pap Smear of Low Grade Intraepithelial Squamous Lession (LGSIL) (Cervical Intraephitelial Neoplasia I, Low Grade Cervical Dysplasia) request means more than a challenge, there´s no question about it. knowing the natural history and the clinical course in detail is needed in order to use the variety of treatment strategies in this Cancer of the Uterine Cervix previous lesion. Justification. The study centers in the high proportion of young and nulliparous patients that we attend in our department, with a low grade squamous intraepithelial lesion diagnosis, and the possibility of offering a prospective conservative treatment. Of the 123 women. 32% (39) abandoned, with a final recluting of 94; from this, 47% (44), 46% (43) persist for two years with the illness but without advance, 42% (39) solve their problem spontaneously, 12% (11) show illness progression; and the 6% (5) received treatment before 12 months, and 8% before two years. After two years, 43% (40) of the ones who show persistence were treated. Discussion. The prospective or expectative treatment used in the low grade lesion, its an appropriate option of management, when we select the risk factors who are related with the patients who carries the illness. Conclusions. According to the exposed data, the lesion treatment takes an important place in the uterine cervix cancer prevention, and it is considered that its needed to treat once it is diagnosed in order to avoid a cancer evolution, in cases of persistent injury or advanceREFERENCES
Syrjänen S, Shabalova IP, Petrovichev N, Kosachenko VP, Zakharova T, Pajanidi A, Podistov JI, Chemeris G, Soazeva LG, Lipova EV, Sirjhänen KJ, y cols. Sexual habits and Human Papillomavirus (HPV) infections among women in three new independent states of the former Soviet Union. Sex Transm Dis 2003; en prensa
Duarte-Franco E, Robitaille J, Santos M, Miyamura R, Rohan T, Ferenczy A, Villa L, Franco E. HPV Infection as a predictor of the cervical lesion outcome among women with benign cellular changes on PAP cytology, 19th Internacional Papillomavirus Conference; 2001 September 1-7. Costao do Santinho, Floria-nópolis, Brazil.