Abstract

LAU SERRANO, Dalgis; MILLAN VEGA, María Margarita; FAJARDO TORNES, Yarine  and  SANCHEZ ALARCON, César. Pre-invasive lesions in the cervix. Rev Cubana Obstet Ginecol [online]. 2012, vol.38, n.3, pp.366-377. ISSN 0138-600X.

Introduction: cervical cancer is the second leading cause of death in women worldwide and the main due to malignant diseases. Cuban studies have reported that over 12 % of women attending the program had this disease, despite a national screening program in place for early detection. Its incidence shows that the control of this disease, although a desired purpose, has not yet achieved the proposed objectives. Objectives: to find the histological correlation quote, to categorize the grade injury, and to characterize the patient group. Methods: it was conducted a retrospective study evaluating patients treated at Bayamo medical specialty clinic from January 2010 to June 2011. These patients had preinvasive lesions of the cervix. The universe was 246 abnormal cytologies and we had a sample of 89 histologic results with any of the three grades of cervical intraepithelial neoplasia obtained. We calculated the sensitivity and specificity to determine the effectiveness of the histological diagnosis. Results: there was predominance of cervical intraepithelial neoplasia grade I in the cytologic and histologic results. Most patients were 25 to 39 years old. The evidence early sexuality and human papilloma virus were very common. The correlation of cytology and histology in the diagnosis was 64.1 %, sensitivity of 90.3 % and a specificity of 79.3 %. Conclusion: the diagnostic correlation between cytology and histology was effective.

Keywords : preinvasive lesions; diagnostic correlation; cytology; histology.

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