Lesões pré-malignas e malignas do colo uterino: diagnóstico, seguimento e tratamento de acordo com as normas do Ministério da Saúde

Abstract

Objective: to evaluate the referral, diagnosis, follow-up and treatment of women with abnormal cytopathological exams to referral unit care service following recommendations of the Ministry of Health, Salvador, Bahia. Methodology: This is a retrospective descriptive study, developed in a reference hospital, Salvador, Bahia, where data was collected from electronic medical records, from January 2017 to January 2020. The variables as results of abnormal cytopathological exams (pre-malignant and malignant squamous lesions), colposcopic, histopathological and clinical management as well as the treatment methods applied were collected. For statistical analyses, the SSPS version 20.0 program was used. Results: Of the total number of women who were referred to the UMC (medium complexity unit), the majority fell within the age range of the target population. The majority of women were classified as having more serious injuries. Of the women referred, the majority underwent colposcopy and belonged to the group with the most serious injuries. Repeat cytology was more frequently observed in the group with less severe lesions, while LEEP was the procedure most used in the treatment of more serious lesions. When evaluating the procedures, associations were observed regarding margin assessment and glandular involvement. Regarding the presence of residual lesion, parameters such as age and margin status were associated with the persistence of the lesion. Conclusion: Although the majority of referrals fit the recommendations, there is a significant frequency of inappropriate and unnecessary referrals to a secondary health unit for colposcopy and biopsy. Regarding the residual lesion, age and margin status may be associated with the persistence of the lesions.