CHARACTERISTICS OF THE CERVICUTERINE CANCER SCREENING AT 08 HEALTH INSTITUTIONS, METROPOLITAN LIMA 2017

CARACTERÍSTICAS DEL TAMIZAJE PARA CÁNCER CÉRVICO-UTERINO EN 08 ESTABLECIMIENTOS DE SALUD, LIMA METROPOLITANA 2017

  • Aleksandar Cvetkovic -Vega
  • Carlos León -Nakamura
  • Alejandro Yábar -Berrocal
Keywords: Papanicolaou Test, Liquid-based Cytology, Cervicuterine Cancer, HPV, Screening

Abstract

Introduction: The use of Papanicoloau Conventional Cytology (CC) versus Liquid Base (CBL), the professional who performs the extraction, first reading and diagnosis of the sample; the use of the Bethesda classification, the detection of HPV DNA and the follow-up of ASCUS findings are links in the screening of Uterine Cervical Cancer (CCU) little studied in our environment.

Objective: To determine the characteristics of the CCU cancer screening in 08 health facilities (EESS) of Metropolitan Lima, the headquarters of the Medical Board of the FAMURP in 2017.

Methods: Descriptive, transversal. Sampling for convenience. The Chiefs of Pathology Services were interviewed.

Results: 8 EESS of Level III of the MINSA, EsSalud and FFAA participated. All performed the CC, none CBL. The samples are taken by the Gynecologist or the Obstetrician, and in 1 case by nursing, the first reading is performed by the Medical Technologist and in one case by the Pathologist Analyst; the diagnosis, by the Anatomopathologist. The Bethesda System is used for the Final Report. Screening tests for HPV DNA are not used. In 8, follow-up is done for ASCUS findings.

Conclusion: CBL, automated reading, and identification of HPV DNA are not implemented. It is recommended to carry out cost-effective studies to propose their future implementation, and to carry out studies regarding the phases of the screening process.

 

DOI:  10.25176/RFMH.v19.n1.1788

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Published
2019-01-19