Concordância do papanicolaou e do exame colposcópicocom a histologia no rastreamento de câncer de colo uterino

Abstract

This study aimed to verify that the Pap smear and colposcopic diagnosis compared to histological analysis in screening for cervical cancer performed by a team of 03 Health Centre Mantiqueira the city of Belo Horizonte, in the period from May to October 2009. To this end, data were collected from the records in books and rotary binder of 174 examinations of women who underwent the Pap smear sample with satisfactory during the period from May to October 2009. The values were determined corresponding to the sensitivity, specificity, negative predictive value and positive predictive value of Pap smears and colposcopy. The results showed that: the age of women who underwent a Pap smear ranged from 15 to 75 years, the predominant age range between 26 to 35 years (28.73%). The specificity of cytology was 80%, sensitivity 42.8%, positive predictive value of 75% and negative predictive value of 50%. The age of women referred for colposcopy ranged from 15 to 75 years, and the predominant age group between 15 and 25 years and 36 to 45 years (31.82%). The sensitivity of colposcopy was 100%, specificity 20%, positive predictive value of 63.6% and negative predictive value of 100%. It can be concluded that cytology proved to be a test of high specificity, while colposcopy of selected patients with high sensitivity. The association of the cytological colposcopic method can substantially improve the rate of diagnosis of neoplastic changes of the cervix with correlation cyto-colpo-histology of fundamental importance in the identification of premalignant lesions, can be cured and it is to make the nurse Pap smear, to promote educational activities and supervise the implementation of women's active pursuit of its coverage area.