Evaluation of Three Models of Follow-up of Patients with Cervical Cytological Abnormalities in a Peruvian’s Largest Teaching Women’s Hospital

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dc.contributor.author Moya-Salazar, Jeel es_ES
dc.contributor.author Huarcaya, Jennifer es_ES
dc.contributor.author Rojas-Zumaran, Víctor es_ES
dc.contributor.author Vásquez, Diana L. es_ES
dc.contributor.author Chicoma-Flores, Karina es_ES
dc.contributor.author Contreras-Pulache, Hans es_ES
dc.date.accessioned 2022-10-10T21:48:01Z
dc.date.available 2022-10-10T21:48:01Z
dc.date.issued 2022-01-13
dc.identifier.uri https://hdl.handle.net/20.500.13053/6852
dc.description.abstract Introduction: The follow-up of squamous intraepithelial lesions (SIL) allows us to understand their progression and regression, however squamous cell atypia (ASC) can generate confusing follow-up results. We aimed to describe the evolution of ASC and SIL during cyto-histopathological follow-up in a tertiary-care hospital. Materials and methods: we conducted a retrospective study during 2016 in 156 Papanicolaou test (PAP) results under three models: 1) with ≥1 PAP and biopsies, 2) 1 PAP followed by ≥1 biopsy, and 3) ≥1 PAP and a confirmatory biopsy. Progression was defined as ASCUS to low-grade SIL (LSIL) or higher, and LSIL to high-grade SIL (HSIL) or higher; and regression as HSIL to LSIL or lower; and LSIL to ASCUS or lower. Results: In PAP, 57 (36.5%) cases were ASC and in histopathology 56 (39.9%) cases of grade 1 cervical intraepithelial neoplasia. Twenty-nine (18.6%) results were followed: 8 (27.6%), 17 (58.6%), and 4 (13.8%) with models 1, 2, and 3, respectively. The progression of the lesions was reported in ~50% for models 2 and 3. ASCUS was the main cytological finding that indicated biopsies, and for all models, the mean progression and regression time was 4 and 3.1 months, respectively. Conclusions: The follow-up of cytological alterations in three models showed progression of lesions in half of the cases analyzed with a time of four months of evolution; ASCUS was the main finding that indicated histopathological study. es_ES
dc.format application/pdf es_ES
dc.language.iso eng es_ES
dc.publisher Modestum LTD es_ES
dc.rights info:eu-repo/semantics/openAccess es_ES
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ es_ES
dc.subject atypical squamous cells of the cervix, follow-up studies, squamous intraepithelial lesions, cytology, Peru es_ES
dc.title Evaluation of Three Models of Follow-up of Patients with Cervical Cytological Abnormalities in a Peruvian’s Largest Teaching Women’s Hospital es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.identifier.doi https://doi.org/10.29333/ejgm/11546 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.publisher.country GB es_ES
dc.subject.ocde http://purl.org/pe-repo/ocde/ford#3.03.00 es_ES

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