Comparative findings of oncogenic cervical risk and its follow-up in two different periods 1982-1999 and 2000-2007.
During the 2000-2007 period, my group and I reviewed the cases of 3,036 patients undergoing routine colposcopies, cytology and cervical biopsies for those cases that merited it, and a 20% increase was found in lesions defined as dysplasias as compared with those found in the studies of the previous century. This is something that reaffirms the association with HPV by 96.5% versus 80% the last century. In relation to HPV infection, we found that the "pure" form was not only reached but rather surpassed by the findings associated with cancer and dysplasia in the years 2005-2006, a behavior considered irregular as compared to the usual. The majority of the patients were guided toward conservative local treatments, among which cryosurgery and cauterization prevailed as choices, and their evolution resulted in an 81% cure (considered as destruction of the lesion and negativity of the cytology and eventual biopsy). It can be concluded that the high vulnerability of the virus, in spite of its great aggressiveness as an oncogenic risk (OR) to a cervical-uterine lesion, can be supported by the high degree of lesions diagnosed by OR.
National Association Against Cancer (ANCEC), Social Security Foundation (CSS), Panama City, Panama. jolgarrido@hotmail.com
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Garrido
D003127:Colposcopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010176:Panama / Q000453:epidemiology; D030361:Papillomavirus Infections / Q000150:complications* / Q000453:epidemiology* / Q000473:pathology; D012307:Risk Factors; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery / Q000821:virology*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery / Q000821:virology*