RESUMO
Over the years, there have been many deaths due to cervical cancer among indigenous women of the Parque Indigena do Xingu as a consequence of low screening coverage. Since 2005, however, the coverage index of cervical lesion screening has been high: 97.6% among at-risk women in 2005 and 92.6% in 2007. Cytological alterations occurred in 12.6% and 6% of the cases in the respective years. After complete diagnosis and treatment of uterine lesions, by staff trained in lower tract pathology, negative results were seen in all cases of high-grade lesions and invasive neoplasia and no case of invasive carcinoma was detected in 2007. We conclude, therefore, that health actions have been effective in decreasing the incidence of cytological alterations and invasive carcinoma.
Assuntos
Indígenas Sul-Americanos , Displasia do Colo do Útero/prevenção & controle , Neoplasias do Colo do Útero/prevenção & controle , Adolescente , Adulto , Brasil/epidemiologia , Colposcopia , Feminino , Humanos , Incidência , Programas de Rastreamento , Pessoa de Meia-Idade , Displasia do Colo do Útero/etnologia , Neoplasias do Colo do Útero/etnologia , Esfregaço Vaginal , Adulto JovemRESUMO
The purpose of this study is to present the results of laser surgery for Bartholin's cyst which shows to be a method that is safe, efficient, of low morbidity, and can be performed in an outpatient clinic under local anesthesia. Of the 22 cases operated on, only two had relapses which were resolved using a second procedure. The average surgery time was short, without bleeding during the operation. Complete epithelization was achieved within a maximum 4-week span with minimal or no postoperative discomfort.
Assuntos
Procedimentos Cirúrgicos Ambulatórios/métodos , Glândulas Vestibulares Maiores/patologia , Cistos/cirurgia , Terapia a Laser/métodos , Adulto , Glândulas Vestibulares Maiores/cirurgia , Dióxido de Carbono , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
The objective of the study was to quantify vessels and to relate them to the degree of histologic differentiation in endometrial adenocarcinoma. We studied 35 cases of which ten were G1, 13 G2 and 12 G3 adenocarcinomas. The control group consisted of 11 atrophic and 10 proliferative endometria. From each case two histologic sections were obtained: one for hematoxylin-eosin staining and the other for immunohistochemical study with anti-CD34. Vessel count was performed by morphometric study. Mean vessel count was 15.3 for G1; 19 for G2 and 22.7 for G3 adenocarcinomas; in the control group it was 11.6 for atrophic and 13.2 for proliferative endometria. Slightly differentiated adenocarcinoma presented greater angiogenesis than normal and well-differentiated carcinoma. In contrast, moderately differentiated carcinoma showed greater angiogenicity as related to normal endometrium, but did not differ from other tumoral endometria.