Rastreamento de lesões pré-neoplásicas do ânus: citologia anal e anuscopia de alta resolução novas armas para prevenção



Título del documento: Rastreamento de lesões pré-neoplásicas do ânus: citologia anal e anuscopia de alta resolução novas armas para prevenção
Revista: Revista do Colegio Brasileiro de Cirurgioes
Base de datos: PERIÓDICA
Número de sistema: 000283625
ISSN: 0100-6991
Autors: 1
Institucions: 1Ministerio da Saude, Hospital de Ipanema, Rio de Janeiro. Brasil
Any:
Període: Sep-Oct
Volum: 33
Número: 5
Paginació: 311-317
País: Brasil
Idioma: Portugués
Tipo de documento: Artículo
Enfoque: Descriptivo
Resumen en inglés Squamous anal cell carcinoma frequency has been changing during the last decades. It was a rare disease in the past with 0.2 cases per 100,000 inhabitants in Denmark before the 60’s and 0.5 per 100,000 in the United States of America (USA) in 1973. Currently these figures have risen to a 1.00 / 100,000 ratio in accordance with the public records in the USA. Although the incidence in the general population can still be considered low, regardless of having doubled during the past 30 years, some specific groups in the population seem to have a higher level of risk, with a ratio of 70 ocurrences per each group of 100,000 individuals. The relationship between infections caused by oncogenic types of human papillomavirus and the similarity with cervical squamous cell carcinoma lead us to believe that screening techniques similar to the ones used as from the 40’s aiming the control of the cervical carcinoma, such as Papanicolaou smear (anal cytology) and colposcopy (high resolution anoscopy), may be effective on anal cancer prevention in those specific groups, or at least, to its early diagnosis. This article presents the techniques for tracking these early anal cancer lesions justifying them as a Public Health point of view
Disciplines Medicina
Paraules clau: Diagnóstico,
Oncología,
Salud pública,
Ano,
Neoplasias,
Carcinoma escamoso,
Tamizaje,
Proctoscopia,
Colposcopía,
Papillomavirus,
Factores de riesgo
Keyword: Medicine,
Diagnosis,
Oncology,
Public health,
Anus,
Neoplasms,
Squamous cell carcinoma,
Screening,
Proctoscopy,
Risk factors,
Colposcopy,
Papillomavirus
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