medigraphic.com
ISSN 1561-3062 (Electronic)

2019, Number 3

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2019; 45 (3)

Results of conization by radiosurgery in patients treated in a cervical pathology clinic

Moré VA, Diaz CY, Moya TC, Borges FR, Reyes MCM, Moya AA

Language: Spanish
References: 20
Page: 1-13
PDF size: 462.40 Kb.


ABSTRACT

Introduction: Radiosurgery aims to provide a diagnostic and treatment tool.
Objectives: To describe the results of conization by radiosurgery in patients treated in the cervical pathology clinic of the institution.
Methods: A descriptive cross-sectional investigation was carried out at Mártires del 9 de abril General Teaching Hospital, in Sagua la Grande, Villa Clara, Cuba. The study population consisted of 256 patients attended in the cervical pathology clinic who underwent conization by radiosurgery, from January 2013 to December 2015. For the collection of the information, the document review was used and a data collection form was made.
Results: The preoperative diagnosis that contributed the greatest number of cases was IAS III (severe dysplasia) (78 cases; 30.5%).
Conclusions: The premalignant lesions in the present study began to appear with a marked incidence from the age of 20 and up to 49, with the group of 30-39 years standing out. The increase in the number of sexual partners, as well as the early sexual intercourse increase the risk of suffering intraepithelial lesions in the cervix. After five years of beginning sexual intercourse, cervical intraepithelial lesions begin to appear, the preoperative diagnosis that contributed the greatest number of cases was IAS III (severe dysplasia). In histological diagnoses by punch and cone correspondence existed in all cases.


REFERENCES

  1. Cabezas Cruz E. Conducta a seguir ante la NIC. Rev Cubana Obstet Ginecol. 1998;24(3):156-60. [citado 17/02/2017]. Disponible en: http://scielo.sld.cu/pdf/gin/v24n3/gin08398.pdf

  2. Matseoane S, Williams SB, Navarro C, Hedriana H, Mushayandebvu T Matseoane S. Diagnostic value conization of the uterine cervix in the management of the cervical neoplasia. Gynecol Oncol. 1992 Dec;47(3):287-91. [citado 17/02/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/1473739

  3. De Palo G, Chanen W, Dexeus S. Neoplasia intraepitelial cervical. En: Patología y tratamiento del tracto genital inferior. Barcelona: Editorial Masson; 2001. p. 62-89. [citado 17/02/2017]. Disponible en: http://rinconmedico.me/patologia-y-tratamiento-del-tracto-genital-inferior-2a-ed-g-de-palo-s-dexeus-w-chanen.htm

  4. Boone JD, Erickson BK, Huh WK. New insight into cervical cancer screening. J Gynecol Oncol. 2012 Oct;23(4):282-7. [citado 17/02/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3469864/

  5. Apgar Barbara S, Brotzman Gregory L, Spitzer Mark. Colposcopía. Principios y práctica. 2 ed. Cap 26. Opciones terapéuticas prácticas para el tratamiento de la neoplasia intraepitelial cervical. Elsevier Masson; 2011. p. 505-20. [citado 17/02/2017]. Disponible en: http://media.axon.es/pdf/77521.pdf

  6. Cabezas E. Lesiones premalignas del cuello. En: Obstetricia y Ginecología. Ciudad de La Habana: Ecimed; 2004, p. 297.

  7. Chamot E, Kristensen S, Stringer JSA, Mwanahamuntu MH. Are treatments for cervical precancerous lesions in less-developed countries safe enough to promote scalling-up of cervical screening programs? A systematic review. BMC Women´s Health. 2011;10:11-22. [citado 17/02/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20359354

  8. OPS. Planificación de programas apropiados para la prevención del cáncer cervicouterino. 3 ed. La Habana: Ciencias Médicas; 2002. p.3-5. [citado 17/02/2017]. Disponible en: http://screening.iarc.fr/doc/0-Spanish-Planning-Guide.pdf

  9. Cervical Cancer Prevention. FACT SHEET. Natural History of Cervical Cancer: Even Infrequent Screening of Older Women Saves Lives. women save lives. Cervical Cancer Prevention Fact Sheet. [citado 17/02/2017]. Disponible en: http://screening.iarc.fr/doc/RH_natural_history_of_cc_fs.pdf

  10. Colectivo de autores. Programa Nacional de Diagnóstico Precoz del Cáncer Cérvicouterino. La Habana: MINSAP; 2001. [citado 17/02/2017] http://scielo.sld.cu/scieloOrg/php/reflinks.php?refpid=S0138-600X200900030000800004&lng=es&pid=S0138-600X2009000300008

  11. Wentzensen N, Schiffman M, Dunn ST, Zuna RE, Walker J, Allen RA. Grading the severity of cervical neoplasia based on combined histopathology, cytopathology, and HPV genotype distribution among 1700 women referred to colposcopy in Oklahoma. Int J Cancer. 2009 Feb 15;124(4):964-9. [citado 17/02/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19030188

  12. González DI Jr, Zahn CM, Retzloff MG, Moore WF, Kost ER, Snyder RR. Recurrence of dysplasia after loop electrosurgical excision procedures with long-term follow-up. Am J Obstet Gynecol. 2001 Feb;184(3):315-21. [citado 17/02/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11228480

  13. Martínez Chang YM, Sarduy Nápoles M. Manejo de las adolescentes con neoplasia intraepitelial cervical. Rev Cubana Invest Bioméd [Internet]. 2006 Mar; 25(1). [citado 14/07/2017]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002006000100001&lng=es.

  14. Rojas Clavijo LA, García L, Bautista M. Lesiones premalignas de cérvix en pacientes tratadas con cono por radiocirugía. Rev Per Ginecol Obstet. 2010;56(1):39-43. [citado 14/07/2017]. Disponible en: http://sisbib.unmsm.edu.pe/bvrevistas/ginecologia/vol56_n1/pdf/a07v56n1.pdf

  15. Alonso de Ruíz P, Lazcano Ponce E, Hernández Ávila M. Cáncer cervicouterino. Diagnóstico, prevención y control. México DF. Editorial Médica Panamericana; 2000. 254 p. [citado 14/07/2017]. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342000000600014

  16. Barrios García L, Lecompte Osorio PA, Leones Castillo RA. Factores de riesgo presentes en pacientes con lesiones intraepiteliales escamosas del cérvix en la Clínica Maternidad Rafael Calvo en la ciudad de Cartagena (Colombia): estudio descriptivo. Archivos de Medicina. 2016 enero-junio;16(1):109-17. [citado 14/07/2017]. Disponible en: http://www.redalyc.org/pdf/2738/273846452011.pdf

  17. Fujimoto T, Shim YH, Min K. Papillary squamous cells carcinoma of the uterine cervix: a report of two cases with human papillomavirus 16 DNA. Acta Obstet Gynecol Scand. 2002 Feb;81(2):176-8. [citado 14/07/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11942912

  18. Moré Vega, Moya Toneut C, Pino Pérez F, Gálvez Castellón A, Espinosa Fuentes M, Ávalos Arbolaes JL. Comportamiento de las lesiones intraepiteliales de alto grado en la consulta de patología de cuello. Rev Cub Obstet Ginecol. Ciudad de la Habana; 2013 oct-dic; [citado 14/07/2017];39(4). [citado 14/07/2017]. Disponible en: http://bvs.sld.cu/revistas/gin/vol39_4_13/gin05413.htm

  19. Song SH, Lee JK, Oh MJ, Hur JY, Na JY, Park YK, et al. Peristent HPV infection after conization in patients with negative margins. Gynecol Oncol. 2006 Jun;101(3):418-22. Epub 2006 Jan 4. [citado 14/07/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/16386782

  20. Weig G, Pokieser W, Schuller B, Weigert M, Ulrich W, Sevelda P, et al. Investigation of 208 consecutive cases of cervical cone biopsies with regard to indication, negative samples and quality control. Acta Cytol. 2006 Mar-Apr;50(2):185-90. [citado 14/07/2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/16610687




2020     |     www.medigraphic.com