Cervix Epithelial Lesions in Patients with No Altered Cytology in the Isle of Youth (2014-2015)

Abstract

Introduction: The study of cervix epithelial lesions is a priority in preventing this type of cancer because of the evident morbidity and mortality increase, despite population screening programs.
Objective: To describe epithelial lesion behavior according to clinical - epidemiological variables of interest.
Methods: A retrospective descriptive study was conducted to characterize the cervix epithelial lesion behavior in 1148 patients treated in the Consultation of Neck Pathology at the General Teaching Hospital of the Isle of Youth from 2014 to 2015.
Results: 71 % of the total number of patients aged between 25 and 51 years, 44 % came from Santa Fé and Pueblo Nuevo territories. These subjects' first sexual relations were after they were 16 and the average number of deliveries and abortions is less than two. Forty-two percent had human papillomavirus infection confirmed by cytology. Thirty percent came to consultation for an obvious cervix lesion with no cytology altered. Fifty-seven percent had a lesion area less than 200 mm². The colposcopy and histological studies, high-grade lesions predominated in more than 60 %. Invasive lesions only represented 4 %. The number of young patients is significantly high. There was no evidence of abnormal behavior of this disease's classic risk factors.
Conclusions: The results of this study can serve as a basis to draw local strategies for the Health System aiming to reduce morbidity and mortality from cancer in the territory.