2014, Number 11
Ectropión cervical: factor de riesgo para lesiones precursoras y cáncer cervico uterino.
Trejo SOA, Solórzano CJM, Lopez VJL, Silva RDG, García MMC, Tolentino LJA, Bedoya OMÁ
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References: 18
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ABSTRACT
Ectropion or glandular eversion of the cervix is a normal physiological process occurs in a high percentage between 14 and 37 years old, more common in women of reproductive age, pregnant women, in patients with prolonged use of contraceptives and therapy hormonal replacement. Its presence is associated with the presence of estrogen, so that is rare to observe it in the post-menopause. This eversion is producing mucus and bleeding on touch. Already well recognized that the glandular epithelium exposed, has a depressed cellular immunity or decreased, so has a greater predisposition to infections replicate external agents such as Herpes, Archivos Médicos de Actualización en Tracto Genital Inferior Año VI, No. 11, Octubre 2014 SECCIÓN 4 Hospital Civil de Guadalajara, Fray Antonio Alcalde, Centro Universitario de Ciencias de la Salud CUCS), Universidad de Guadalajara, Jal. México 2 Human Papilloma Virus (HPV), Human Immunodeficiency Virus (HIV), Chlamydia and Neisseria and others. Also, these exhibitions of glandular epithelium with multiple infectious agents actively, are factors that will encourage the natural history of squamous intraepithelial lesions and cervical uterine cancer. Molecular tests allow us to determine at present with very high sensitivity to high-risk HPV to cancer it through testing and polymerase chain reaction (PCR). Other laboratory tests that are innovations in molecular biology are used in culture to virus, bacteria, parasites and fungi, based techniques in PCR. Colposcopy is an element of microscopic observation of strong support for the diagnosis of all normal and abnormal local changes occurring in the ectocervix, more frequent site location glandular eversion and sensitive transformation zone, site where they occur all initial change that can lead to an invasive lesion. This proposed estadificion (stage I, II, III and IV more five severity grades: a, b, c, d) meets all the above mentioned risk factors, which together allow us to identify and evaluate each of the stages of risk according to their severity, with the possibility of carrying out a planning different types of conservative treatment, all of them minimally invasive, such as cryotherapy with nitrous oxide, the LASER beam of carbon dioxide, the radioesferolisis with low power radiofrequencies and the use of microwaves through a contact probe, all with satisfactory results.REFERENCES
Silva H, et, al. Lesiones premalignas en cérvix en pacientes con ectopia cervical y citología negativa para malignidad en el centro de patología cervical del hospital Susana López de Archivos Médicos de Actualización en Tracto Genital Inferior Año VI, No. 11, Octubre 2014 SECCIÓN 4 Hospital Civil de Guadalajara, Fray Antonio Alcalde, Centro Universitario de Ciencias de la Salud CUCS), Universidad de Guadalajara, Jal. México 10 Valencia en Popaýan-Cauca, Octubre 2008, Colombia.