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Revista Médica de Risaralda

Print version ISSN 0122-0667

Abstract

MONTOYA ZAPATA, Claudia Patricia; OSORIO CASTANO, Jhon Henry; PEREZ VILLA, Marjorie  and  CARDONA RESTREPO, Fernando Antonio. Behavior of cytological alterations in women treated at an IPS in the city of Medellín. Revista médica Risaralda [online]. 2022, vol.28, n.2, pp.139-150.  Epub Dec 27, 2022. ISSN 0122-0667.  https://doi.org/10.22517/25395203.25054.

Objective:

To analyze the characteristics related to the diagnosis of cancer of the patients who consult an IPS in the city of Medellín.

Methodology:

Analytical observational study. The population consisted of all the women treated at the IPS Unidad Video Diagnóstica de la Mujer, an institution dedicated to performing diagnostic confirmation of women with altered cytologies. All the records of the institution's database corresponding to the women who consulted during the period 2012-2017 were analyzed, a total of 55,655 women.

Results:

The records of 55,655 users were analyzed, the median age was 40 years (RIQ 19) and 66.1% (36,812) belonged to the subsidized regime. The main indication for performing colposcopy was cytological alterations with 89.8% (49984) and the most frequent was LIEBG 35.3% (19649). The main cancer diagnosed was squamous cells with 0.5% (284) and the associated factors were residing in the Valle de Aburrá (OR 0.60 IC 0.42-0.84) and the LIEAG cytology result (OR 3.31 IC 2.22-4.94).

Conclusions:

A cervical cancer prevalence of 7.8 was found for every 1000 patients who consulted the IPS.

Keywords : Cervix uteri; uterine cervical neoplasms; precancerous conditions; cytology; squamous intraepithelial lesions of the cervix.

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