title: Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil.
abstract: OBJECTIVE
  To analyze the occurrence of atypia in the cytology/histology examinations of young women under the age of 25 years and of elderly women aged over 64 years, in the Xingu Indigenous Park and to evaluate, in a subjective manner, if the age range for screening established by the Ministry of Health and the Instituto Nacional de Câncer is appropriate for this population.
  
  
  METHODS
  The Xingu/UNIFESP Project, in partnership with the Center for Gynecological Disease Prevention, develops programs to prevent cervical cancer. The exploratory, retrospective and descriptive study of cytological and histopathological examinations of young (12-24 years) and elderly (aged 64 and over) women of the Xingu Indigenous Park, between 2005 and 2011.
  
  
  RESULTS
  There was low occurrence of cytological atypia in the elderly female population, but there were occasional high-grade lesions in the indigenous youth.
  
  
  CONCLUSIONS
  Interrupting screening at the limit age of 64 years, as established by the Ministry of Health and the Instituto Nacional de Câncer is justified. However, screening of young women should begin at an earlier age.
authors.affiliation: Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Neila Maria de Góis
authors.initials: NM
authors.lastname: Speck
authors.affiliation: Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Juliana da Silva
authors.initials: Jda S
authors.lastname: Pinheiro
authors.affiliation: Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Erica Ribeiro
authors.initials: ER
authors.lastname: Pereira
authors.affiliation: Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Douglas
authors.initials: D
authors.lastname: Rodrigues
authors.affiliation: Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Gustavo Rubino de Azevedo
authors.initials: GR
authors.lastname: Focchi
authors.affiliation: Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Julisa Chamorro Lascasas
authors.initials: JC
authors.lastname: Ribalta
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D002277:Carcinoma / Q000453:epidemiology / Q000473:pathology*; D002648:Child; D003127:Colposcopy / Q000379:methods; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D044382:Population Groups; D012189:Retrospective Studies; D012307:Risk Factors; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000473:pathology*; D014625:Vaginal Neoplasms / Q000453:epidemiology / Q000473:pathology; D014626:Vaginal Smears; D055815:Young Adult