Abstract
Objetivo: Associar as variáveis sociodemográficas de idosas com câncer cervical e estadiamento de um hospital de referência oncológica. Método: Estudo observacional, retrospectivo e analítico de 559 idosas. Resultados: As variáveis que apresentaram correlação estatística significativa com o estadiamento do câncer do colo do útero foram: idosas casadas, o tipo histopatológico carcinoma de células escamosas, radioterapia + quimioterapia como primeiro tratamento recebido no hospital, remissão completa da doença ao final do primeiro tratamento, sem óbitos por câncer e nunca haver fumado. Discussão: Embora algumas características estarem relacionadas a maior prevalência elas não estavam associadas ao estadiamento. Conclusão: Os dados do estudo reafirmam a necessidade de prevenção e busca ativa dos casos. Conhecer as características epidemiológicas dessas idosas, torna-se significativo, pois fornece subsidio para o planejamento avaliação de programas efetivos no controle do câncer do colo do útero.
Highlights
The process of population aging is accelerating rapidly around the world, it is one of humanity's greatest triumphs and one of the great challenges to be faced by society, the aging process, most often comes accompanied by the appearance of chronic non-communicable diseases, such as cancer
This study demonstrates that women with grade 3 - CIN 3 cervical intraepithelial cancer, are 6 times less likely to be associated with late staging
This data is justified because cervical cancer usually begins as low-grade intraepithelial lesions (LSIL), a preinvasive condition limited to the cervical epithelium, and is less likely to progress to invasive carcinoma, unlike high-grade intraepithelial lesions (HSIL)
Summary
The process of population aging is accelerating rapidly around the world, it is one of humanity's greatest triumphs and one of the great challenges to be faced by society, the aging process, most often comes accompanied by the appearance of chronic non-communicable diseases, such as cancer. With the favoring of sexuality of this age group due to modern discoveries that increase sexual desire, there were changes in the old conception that the elderly were asexual people, some elderly women do not possess information about safe sex, disregarding the use of condoms because they can no longer become pregnant, and it is up to the health professional to identify this gap in view of the risk for the development of cancer[2]. Cervical cancer is considered a public health problem in Brazil, it is preventable when low-grade lesions are identified early, yet it has high mortality, contributing significantly to the burden of the disease in women, being considered the fourth most common type of cancer in this population[3]. Recurrent infection by the human papilloma virus (HPV) virus is considered the main cause for the development of this type of cancer[5,6], transmitted mainly through unprotected sexual contact
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