Análise comparativa dos resultados de exames colpocitológicos realizados em Governador Valadares-MG com aqueles realizados no país, região sudeste e Minas Gerais.

Abstract

Cervical cancer is one of the leading causes of cancer death in women and can be prevented by the early detection of precursor lesions by cytological techniques. The objective of this study was to compare the results of colpocytological exams performed at national, regional and state level with those obtained at Governador Valadares (GV). Information was obtained on colpocytological exams performed in the four spheres, from January / 2006 to December / 2014. The data were obtained from the Cervical Cancer Information System – SISCOLO. The rate of altered exams was 2.8%, 3.3%, 2.2% and 2.7% (Brazil, Southeast, Minas Gerais [MG] and GV, respectively). This rate was significantly higher in GV when compared to MG and significantly lower than that in the Southeast and Brazil. The main injuries in all spheres were: atypical squamous cells of undetermined significance, possibly non-neoplastic, low grade squamous intraepithelial lesion and high grade squamous intraepithelial lesion. The incidence rates of cervical cancer were: 27.03; 28.02; 16.99 and 23.16 cases per 100,000 inhabitants in the country, southeast region, MG and GV, respectively. GV showed a significantly higher rate only when compared with MG data. Concluding, the exams carried out in GV show some significant differences in relation to the other spheres. It is necessary to implement an internal quality monitoring policy to improve the quality of the exam, besides greater investment in the continuing education of the professional who does the scrutiny of the blades.