Underestimated Cervical Cancer among Women over 65 Years Old: Is It Time to Revise the Screening Target Age Group?

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorCentro Universitário Católico Unisalesiano Auxilium-
Autor(es): dc.contributorInstituto de Patologia de Araçatuba-
Autor(es): dc.contributorFaculdade de Medicina de São José Do Rio Preto-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorZago, Renata Alfena-
Autor(es): dc.creatorCamilo-Júnior, Deolino João-
Autor(es): dc.creatorD'Ávilla, Solange Correa Garcia Pires-
Autor(es): dc.creatorXavier-Júnior, José Cândido Caldeira-
Data de aceite: dc.date.accessioned2025-08-21T22:17:54Z-
Data de disponibilização: dc.date.available2025-08-21T22:17:54Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-04-17-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1055/s-0043-1772477-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/298890-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/298890-
Descrição: dc.descriptionObjective ?To compare cytological and histological results from women > 64 years old who followed the Brazilian national cervical cancer screening guidelines with those who did not. Methods ?The present observational retrospective study analyzed 207 abnormal cervical smear results from women > 64 years old in a mid-sized city in Brazil over 14 years. All results were reported according to the Bethesda System. The women were divided into those who followed the screening guidelines and those who did not. Results ?Atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesion cytology results were found in 128 (62.2%) cases. Of these, 112 (87.5%) had repeated cytology with positive results. The other 79 (38.1%) with abnormal results should have been referred to colposcopy and biopsy. Out of 41 (51.9%) biopsied women, 23 (29.1%) had a confirmed diagnosis of neoplasia or precursor lesion. In contrast, among the 78 (37.7%) biopsied patients, 40 (51.3%) followed the guideline recommendations, with 9 (22.5%) positive biopsies. Of the 38 (48.7%) women who did not follow the guidelines, there were 24 (63.1%) positive results. Women who did not follow the guidelines demonstrated higher chances of cancer and precursor lesions (odds ratio [OR]: 5.904; 95% confidence interval [CI]: 2.188-15.932; p = 0.0002). Conclusion ?Women > 64 years old who did not follow the national screening protocol showed significant differences in the frequency of abnormal results and severity of diagnosis compared with those who followed the protocol.-
Descrição: dc.descriptionSchool of Medicine Centro Universitário Católico Unisalesiano Auxilium, SP-
Descrição: dc.descriptionInstituto de Patologia de Araçatuba, SP-
Descrição: dc.descriptionFaculdade de Medicina de São José Do Rio Preto, SP-
Descrição: dc.descriptionFaculdade de Medicina de Botucatu Universidade Estadual Paulista, SP-
Descrição: dc.descriptionFaculdade de Medicina de Botucatu Universidade Estadual Paulista, SP-
Formato: dc.formatE790-E795-
Idioma: dc.languageen-
Relação: dc.relationRevista Brasileira de Ginecologia e Obstetricia-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectaging health-
Palavras-chave: dc.subjectcytology-
Palavras-chave: dc.subjectpapanicolaou test-
Palavras-chave: dc.subjectscreening-
Palavras-chave: dc.subjectuterine cervical neoplasms-
Título: dc.titleUnderestimated Cervical Cancer among Women over 65 Years Old: Is It Time to Revise the Screening Target Age Group?-
Título: dc.titleCancer cervical subestimado entre mulheres com mais de 65 anos:E hora de rever a faixa etaria alvo do rastreamento?-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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