Characterizing the Profile of Women with Cytological Results ASCUS/AGC, LSIL e HSIL, according to Socio-demographic, Epidemiological and Reproductive Factors in Rio Branco - AC, Brazil

Abstract

Introduction: Cervical cancer is the second most frequent cancer among women. This type of cancer is also the most common and the main cause of mortality among women in the North of Brazil, especially in the city of Rio Branco, Acre. Objective: To characterize the profile of women screened in the public health with cervical cytology results of ASCUS/AGC, LSIL e HSIL, between 2007 and 2008, in the city of Rio Branco / AC . Method: Cross-sectional study, with women diagnosed with cervical cancer precursor lesions identified by Pap smear and recorded in the Cervical Cancer Control Program in the years 2007 and 2008 in the Oncology Control Center in Acre – CECON/ AC . Results: 22.6% of women were under25 years of age and 57.3% were between 25-45years, 89.1% were pardas, 59.8% had primary level education, 30.5% had the first sexual intercourse before the age of 14, 64.9% had more than 3 children, 70.0% had more than two lifelong partners, 54.0% had not received treatment after cytologic changes diagnosis and 45.7% of cytologic diagnosis of atypical cells of undetermined significance were high-grade lesions or cancer on histopathology. Conclusion: Improvements are needed to enhance the quality of the cervical prevention program in the state of Acre including evaluation and control of diagnosis and treatment of cervical cancer, especially of women diagnosed as ASCUS/AGC. Such actions are expected to reduce the incidence and mortality from cervical cancer in this Region.