Resumen

ZAYAS MARTINEZ, Iris Gladys; CORDERO RODRIGUEZ, Magaly; CRESPO CAMPO, Gustavo  y  ARANGO FERNANDEZ, Eduardo. Cervix carcinoma in HIV-positive women: presentation of three cases. AMC [online]. 2011, vol.15, n.4, pp. 744-750. ISSN 1025-0255.

Background: cervix carcinoma is an important marking disease of AIDS, and it is possible to be the malignant process related to the most common disease among these women. Objective: to demonstrate the importance of the colposcopic study in HIV-women. Clinical cases: three HIV-positive women of 27, 51 and 32 years old respectively from Camagüey, Nuevitas and Florida municipalities belonging to Camagüey province is reported, to which were diagnosed by colposcopy and biopsy an infiltrating epidermoid carcinoma of exocervix well differentiated and a cervix carcinoma in situ in one of them. The novelty of these studies in these three patients, negative cytology of neoplastic cells was found; which evidence what some authors considered on the low sensitivity of this study to diagnose cervix cancer in HIV-women due to the high rate of false negatives. Conclusions: with this research a call to alert is made to the multidisciplinary team that attends to the HIV-positive women to carry out the assessment of these women at the beginning of the infection and make them systematic gynecological examinations that include: cervicovaginal exudates, cytology, colposcopy and biopsy, the last one if necessary. These checkups must be made every 3, 6 and 12 months depending on the immunological condition, this way cervix carcinoma in HIV-women population may be prevented.

Palabras clave : CERVICAL INTRAEPITHELIAL NEOPLASIA; COLOSCOPY; HIV; CARCINOMA, SQUAMOUS CELL; CASE STUDIES.

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