Relationship between cytological and histological findings in patients from an Amazonian hospital in Peru

Abstract

Introduction: cervical cancer remains one of the leading causes of cancer-related deaths worldwide. Objectives: to describe the positive cytological and histopathological findings in patients with cervical cancer. Method: an observational, descriptive, cross-sectional study was carried out. A non-probabilistic intentional sampling with 80 women whose history presented complete information, taken from the clinical records, to make the correlation between cytological and histopathological findings in the Amazonian hospital of Yarinacocha, Peru during the period 2013 to 2017. Descriptive and multivariate statistics were used. Results: 34 % of the patients with positive cytology were between 40 and 49 years old. Fifteen percent of the cytological studies performed were positive. The ASCUS category was mostly related to Cervical Intraepithelial Neoplasia-1 (CIN-1) or mild dysplasia in 83 % of the cases; only 6 % were severe dysplasia or CIN-3. Low-grade Squamous Intraepithelial Lesions (SILs) were associated with CIN-2 moderate dysplasia in 60 %. High-grade SILs were associated with mild dysplasia CIN-1 in 58 % and 25 % were associated with severe dysplasia CIN-3. The cytological diagnosis of carcinoma was associated with mild dysplasia CIN-1 (66 %). Conclusion: it is concluded that there is a correlation between cytological lesions and their relationship with histological lesions. As the ASCUS type lesions; while by histology, CIN-1 type lesions predominated. A significant association was found between the type of lesion by cytology and histology.

Keywords

• cuello del útero
• células escamosas atípicas del cuello del útero
• lesiones intraepiteliales escamosas de cuello uterino