Cervical cancer screening program of Paraná: cytohistological correlation results after five years.
Since its inception in November 1997, the Cervical Cancer Screening Program of Paraná (CCSPP), Brazil, has resulted in the cytological screening of 2,244,158 women, the coverage of the female population increasing from 43% to 86%. One thousand six hundred one cases screened by cytology, submitted to colposcopy, and subjected to treatment were selected. Cytopathological results were compared with those obtained on the basis of histological analyses of the loop electrical excision procedure specimens, and were subjected to statistical analyses. The data obtained were then compared with cytohistological correlation results from the first year of the program. Considering the exact correlation between cytological and histological diagnoses, the correlation index increased from 53.34% in the first year to 67.3% at the end of 5 yr of the program. Variations that occurred in each diagnostic category are discussed. This study demonstrates a significant improvement in the concordance between cytological and histological results for the 5-yr period compared with the first year of the CCSPP.
Pinto
Alvaro P
AP
Department of Pathology, Hospital de Clinicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil. alvaropi@bsi.com.br
Guedes
Guilherme Barroso
GB
Tuon
Felipe Francisco Bondan
FF
Maia
Henrique Felde
HF
Collaço
Luiz Martins
LM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009313:National Health Programs; D015203:Reproducibility of Results; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000517:prevention & control* / Q000601:surgery; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000473:pathology