Câncer cervico-uterino e lesões precursoras: aspectos da ocorrência, vigilância epidemiológica e controle no Brasil

Abstract

Was situated the occurrence of cervical cancer in the context of the presence, as expressive of malignant neoplasms in the morbidity profile of the population. Discussed the peculiar pattern of coexistence in the country, also high and rising for typical forms of cancer societies at different stages of socioeconomic development risks . In relation to cervical cancer , there was a higher occurrence , and at younger ages , in the less developed regions of the country, the magnitude and age distribution in all areas , however, were consistent with those observed in regions of the world with high frequency of the disease. The high rates of detection of precursor lesions between the cytological examinations indicate, in addition to high risks, service catering mainly for symptomatic clientele. Is conjectured about the predictable rise of occurrence, depending on the persistence of poor living conditions, greater exposure to risk factors and the paucity of control activities. Low coverage and effectiveness of control measures, and the determinants of this situation problems at every level of activity were discussed. Criticized the inadequacy of rules in relation to the target population and the frequency of colpo cytological examination, as well as the failure of the parameters of assessment. Have been suggested and outlined some indicators are the key aspects of an integrated operational and epidemiological information.