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Lesiones premalignas y malignas de cérvix en adolescentes y mejeres jóvenes clínica Maternidad Rafael Calvo, Cartagena

dc.contributor.authorRomero Pérez, Ivette Marinaspa
dc.contributor.authorCeballos Díaz, Clarenaspa
dc.contributor.authorMonterrosa Castro, Álvarospa
dc.date.accessioned2020-10-27T14:20:46Z
dc.date.available2020-10-27T14:20:46Z
dc.date.issued2009-04-11
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/10285
dc.description.abstractObjetivo: determinar la frecuencia de lesiones premalignas y malignas de cérvix en adolescentes y mujeres jóvenes. Métodos: estudio descriptivo transversal de 136 historias clínicas de pacientes entre 14 y 24 años remitidas al servicio de patología cervical de Clínica Maternidad Rafael Calvo. Se evaluaron citología, colposcopia y estudio histopatológico. Resultados: la edad media fue de 21.0 (DE2.4)años, la de inicio de vida sexual de 16.0 (DE 1.9) y la del primer embarazo 15,0 (DE 6.1)años. El 51.4% informaron dos o mas compañeros sexuales. Treinta y seis(26.4%) eran adolescentes y 100 (73.6%) adultas jóvenes de 20 a 24 años. El 48.5% de toda la población tuvo citología anormal. Se observaron hallazgos colposcópicos de lesiones premalignas en 48 pacientes (35.3%): 12 adolescentes de 36 adultas. Se realizaron 50biopsias: 39 (78.0%) resultaron con lesiones de bajo grado, nueve (18.0%) lesiones de alto grado y una (2%) con cáncer de cérvix infiltrante. No se observó diferencia estadísticamente significativa entre la frecuencia de LIE de bajo o alto grado entre adolescentes y adultas jóvenes. En las pacientes con lesiones de alto grado y cáncer se observó una mayor frecuencia de inicio de vida sexual antes de 16 años y más de un compañero sexual. Conclusión: se observó una mayor frecuencia de lesiones premalignas y malignas que las descritas en otros estudios. Nuevas evaluaciones deben inferir las causas que influyen en el incremento en la presencia de LIE a edades tempranas.[Romero IM, Ceballos C, Monterrosa A, Lesiones premalignas y malignas de cérvix en adolescentes y mujeres jóvenes. Clínica Maternidad Rafael Calvo, Cartagena MedUNAB2009; 12:14-18].del cuello uterino.spa
dc.format.mimetypeapplication/pdfspa
dc.language.isospaspa
dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/45/42
dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/45
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceMedUNAB; Vol. 12 Núm. 1 (2009): Antiprotozoarios, Memoria y emoción, Consentimiento informado; 14-18
dc.subjectCiencias biomédicas
dc.subjectCiencias de la vida
dc.subjectInnovaciones en salud
dc.subjectInvestigaciones
dc.titleLesiones premalignas y malignas de cérvix en adolescentes y mejeres jóvenes clínica Maternidad Rafael Calvo, Cartagenaspa
dc.title.translatedPremalignant and malignant lesions of the cervix in adolescents and young women, Rafael Calvo Maternity Clinic, Cartagenaeng
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programPregrado Medicinaspa
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501
dc.subject.keywordsHealth Scienceseng
dc.subject.keywordsMedicineeng
dc.subject.keywordsMedical Scienceseng
dc.subject.keywordsBiomedical Scienceseng
dc.subject.keywordsLife Scienceseng
dc.subject.keywordsInnovations in healtheng
dc.subject.keywordsResearcheng
dc.subject.keywordsAdolescentseng
dc.subject.keywordsWomeneng
dc.subject.keywordsCervical epithelial neoplasmeng
dc.subject.keywordsColposcopyeng
dc.subject.keywordsCytologyeng
dc.subject.keywordsUterinecervical neoplasmeng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.type.hasversionInfo:eu-repo/semantics/publishedVersion
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.relation.referencesMoscicki A. Cervical cytology testing in teens. Curr Opin Obstet Gynecol 2005; 17:471-5spa
dc.relation.referencesMoscicki A, Shiboski S, Hills K. Regression of low-grade squamous intra-epithelial lesions in young women. Lancet 2004; 364:1678-83spa
dc.relation.referencesMoscicki A. Management of adolescents who have ab-normal cytology and histology. Obstet Gynecol Clin NA2008; 35:633-43.spa
dc.relation.referencesACOG Committee Opinion. Evaluation and management of abnormal cervical cytology and histology in the adolescent. Obstet Gynecol 2006; 107:963-8spa
dc.relation.referencesWright Jr T, Massad S, Dunton C, Spitzer M, Wilkinson E, Solomon D. 2006 Consensus Guidelines for the ManagementofWomen WithAbnormalCervicalScreening Tests. American Society for Colposcopy and Cervical Pathology. J Low Genital Tract Dis 2007; 11(4): 201-22.spa
dc.relation.referencesParkin M, Almonte M, Bruni L, Clifford G, Curado M, Pi-ñeros M. Burden and trends of type-specific human papillomavirus infections and related diseases in the Latin America and Caribbean Region. Vaccine 2008; 26S: L1L15spa
dc.relation.referencesAlmonte M, Albero G, Molano M, Carcamo C, García P, Pérez G. Risk factors forhuman papillomavirus exposure and co-factors for cervical cancer in Latin America and the Caribbean. Vaccine 2008; 26S: L16-L36spa
dc.relation.referencesMuñoz N, Méndez F, Posso H, Molano M, van den Brule A, Ronderos M, et al.Incidence, duration,anddeterminants of cervical human papillomavirus infection in a cohort of Colombian women with normal cytological results. J Infect Dis 2004; 190:2077-87spa
dc.relation.referencesWoodman CB, Collins S, Winter H. Natural history of cer-vical human papillomavirus infection in young women: a longitudinal cohort study. Lancet 2001; 357:1831-6spa
dc.contributor.googlescholarMonterrosa Castro, Álvaro [1pvIQl0AAAAJ&hl=es&oi=ao]spa
dc.subject.lembCiencias médicasspa
dc.subject.lembCiencias de la saludspa
dc.subject.lembMedicinaspa
dc.identifier.repourlrepourl:https://repository.unab.edu.co
dc.description.abstractenglishObjective: determine the frequency of premalignant and malignant lesions of the cervix in adolescents and young women. Methods: cross-sectional descriptive study of 136 medical records of patients between 14 and 24 years old referred to the cervical pathology service of Clínica Maternidad Rafael Calvo. Cytology, colposcopy and histopathological study were evaluated. Results: the mean age was 21.0 (SD2.4) years, the age at the beginning of sexual life was 16.0 (SD 1.9) and the age at the first pregnancy was 15.0 (SD 6.1) years. 51.4% reported two or more sexual partners. Thirty-six (26.4%) were adolescents and 100 (73.6%) were young adults aged 20 to 24 years. 48.5% of the entire population had abnormal cytology. Colposcopic findings of premalignant lesions were observed in 48 patients (35.3%): 12 adolescents out of 36 adults. 50 biopsies were performed: 39 (78.0%) resulted with low-grade lesions, nine (18.0%) with high-grade lesions and one (2%) with infiltrating cervical cancer. No statistically significant difference was observed between the frequency of low- or high-grade SIL between adolescents and young adults. In patients with high-grade lesions and cancer, a greater frequency of beginning sexual life before the age of 16 and more than one sexual partner was observed. Conclusion: a higher frequency of premalignant and malignant lesions was observed than those described in other studies. New evaluations must infer the causes that influence the increase in the presence of SIL at early ages.[Romero IM, Ceballos C, Monterrosa A, Premalignant and malignant lesions of the cervix in adolescents and young women. Rafael Calvo Maternity Clinic, Cartagena MedUNAB2009; 12:14-18].of the cervix.eng
dc.subject.proposalAdolescentesspa
dc.subject.proposalMujerspa
dc.subject.proposalNeoplasia intraepitelial del cuello uterinospa
dc.subject.proposalColposcopiaspa
dc.subject.proposalCitologíaspa
dc.subject.proposalNeoplasia del cuello uterinospa
dc.type.redcolhttp://purl.org/redcol/resource_type/ART


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