Correlación entre la citología, colposcopia e histopatología en pacientes mayores de 15 años que acudieron a la consulta de patología cuello uterino en el Hospital de la Mujer Dominicana durante en el período Junio - Agosto 2019

Abstract

Se realizó un estudio observacional, descriptivo y transversal de recolección de datos prospectivo, con el objetivo de determinar la correlación entre la citología, colposcopía e histopatología en pacientes mayores de 15 años que acudieron a la consulta de patología cuello uterino en el Hospital de la Mujer Dominicana. El universo estuvo conformado por 366 pacientes que acudieron a consulta de patología de cuello, para la muestra se seleccionaron un total de 130 pacientes que acudieron a consulta con fines de realizarse dichas pruebas o que tuvieran los resultados de ellas durante el periodo Junio-Agosto 2019. Del total de la muestra el 32 por ciento de las pacientes tenía una edad comprendida entre 30-39 años, el 56 por ciento estaban desempleadas, el nivel de escolaridad secundario obtuvo el 62 por ciento. En cuanto a los factores de riesgo el 81 por ciento de las pacientes confirmaron haber tenido el inicio de las relaciones sexuales antes de los 20 años de edad y el 76 por ciento el haber tenido 3 o más compañeros sexuales a lo largo de su vida. Referente a los hallazgos histológicos más frecuentes estuvo LIEBG con un 51 por ciento, hallazgos colposcópicos arrojaron un 81 por ciento de sugestividad de lesión intraepitelial de bajo grado, mientras en la histopatología el 76 por ciento presento un NIC I. En cuanto a la relación de los hallazgos citológicos, colposcópicos e histológico, el 51 por ciento de las pacientes que presentaron NIC I en hallazgos citológicos, el 42 por ciento se reportaron hallazgos colposcópicos sugestivo de LIEBG, mientras que 42.7 por ciento se encontraron hallazgo histopatológico NIC I.

An observational, descriptive and cross-sectional study of prospective data collection was carried out, with the aim of determining the correlation between cytology, colposcopy and histopathology in patients older than 15 years who attended the cervical pathology consultation at the Women's Hospital Dominican The universe was made up of 366 patients who went to the neck pathology clinic, for the sample a total of 130 patients were selected who went to the clinic for the purpose of performing said tests or having the results of them during the period June-August 2019 . Of the total sample, 32 percent of the patients were aged between 30-39 years, 56 percent were unemployed, the level of secondary schooling was 62 percent. Regarding the risk factors, 81 percent of the patients confirmed having had the beginning of sexual intercourse before the age of 20 and 76 percent having had 3 or more sexual partners throughout their lives. Regarding the most frequent histological findings, LIEBG was 51 percent, colposcopic findings showed 81 percent suggestive of low-grade intraepithelial lesions, while in histopathology 76 percent presented an CIN I. Regarding the relation of cytological, colposcopic and histological findings, 51 percent of patients who presented CIN I in cytological findings, 42 percent reported colposcopic findings suggestive of LIEBG, while 42.7 percent found histopathological findings. CIN I.

An observational, descriptive and cross-sectional study of prospective data collection was carried out, with the aim of determining the correlation between cytology, colposcopy and histopathology in patients older than 15 years who attended the cervical pathology consultation at the Women's Hospital Dominican The universe was made up of 366 patients who went to the neck pathology clinic, for the sample a total of 130 patients were selected who went to the clinic for the purpose of performing said tests or having the results of them during the period June-August 2019 . Of the total sample, 32 percent of the patients were aged between 30-39 years, 56 percent were unemployed, the level of secondary schooling was 62 percent. Regarding the risk factors, 81 percent of the patients confirmed having had the beginning of sexual intercourse before the age of 20 and 76 percent having had 3 or more sexual partners throughout their lives. Regarding the most frequent histological findings, LIEBG was 51 percent, colposcopic findings showed 81 percent suggestive of low-grade intraepithelial lesions, while in histopathology 76 percent presented an CIN I. Regarding the relation of cytological, colposcopic and histological findings, 51 percent of patients who presented CIN I in cytological findings, 42 percent reported colposcopic findings suggestive of LIEBG, while 42.7 percent found histopathological findings. CIN I.