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Revista Pan-Amazônica de Saúde

versão On-line ISSN 2176-6223

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ROCHA, Sílvia Maria Machado da; BAHIA, Marcelo de Oliveira  e  ROCHA, Carlos Alberto Machado da. Profiles of cervical screening tests performed in Casa da Mulher, Pará State, Brazil. Rev Pan-Amaz Saude [online]. 2016, vol.7, n.3, pp.51-55. ISSN 2176-6223.  http://dx.doi.org/10.5123/S2176-62232016000300006.

Cervical cancer usually has silent and slow progression, remaining to be among the most incident cancers in Brazil. Its screening is performed by Pap test which besides detects cancer previously, allows the research of infection agents. A retrospective analytical study about the results of Pap test was conducted in Casa da Mulher, Pará State, Brazil from September 2012 to August 2013 with data from books of prevention of cervical cancer (PCC). During that period, 2,202 PCC tests were carried out at Casa da Mulher, most of them (52.36%) from women aged of 40 to 60 years old. The age group in the sample showed a weak positive correlation (r = 0.1429) with the frequency of microbiological findings and weak negative correlation (r = -0.2571) with the frequency of cytological changes. Microbiological findings were identified in three species: Gardnerella vaginalis (23.48%), Candida sp. (12.44%) and Trichomonas vaginalis (0.68%). The prevalence of cytological abnormalities in tests was 5.72% and did not differ significantly (p = 0.7546) from the reported ones in other publications. Atypia cells of undetermined significance corresponded to 2.679%, below the range estimated by Brazilian National Cancer Institute. The total proportion of potentially malignant neoplastic lesions (high-grade squamous intra epithelial lesion and carcinoma) was 1.09%, and it is most frequently between the ages of 30 to 39 years old. The increase in PCC examinations in the female population needs to be achieved and health promotion should be done by intersectoral partnerships, community participation and collective responsibility for the quality of life.

Palavras-chave : Public Health; Secondary Prevention; Papanicolaou Test; Uterine Cervical Neoplasms.

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