Prevención del cáncer de Cérvix: puesta al día
DOI:
https://doi.org/10.31053/1853.0605.v62.n2.27915Palavras-chave:
.Resumo
Se ha observado en los últimos años un incremento del carcinoma del cuello uterino de neoplasia intraepitelial cervical,. Los factores de riesgo más importantes para el cáncer de cerviz son el inicio precoz, de las relaciones sexuales, el número de parejas sexuales, el tabaco, los anticonceptivos orales, paridad, estados de inmunosu-presión, y enfermedades de transmisión sexual. Igual-mente, se ha demostrado el importante papel del virus del papiloma humano. Se han clasificado en tres grupos de VPH: de bajo riesgo, tipos 6 y 11; de mediano riesgo, tipos 31, 33 y 35 y de alto riesgo, los mas frecuentemente encontrados son tipos 16 y 18, que presentan frecuente asociación con el cáncer del cuello uterino y con las lesiones intraepiteliales de alto grado. La citología cervicovaginal sigue siendo el método diagnóstico de mayor valor para detectar la neoplasia intracervical cervical( CIN) o lesiones escamosas (SIL) y el carcinoma invasivo estadios precoces, discutiéndose la periodicidad y el grupo de mujeres al cual debe apuntar este método. Existen diferentes conductas de acuerdo a si se trata de SIL de bajo o alto grado o carcinoma invasor. Con la posibilidad de realizar control o tratamiento; como, vaporización con láser, asa diatérmica (LLETZ), crioterapia, conización y actualmente en estudio tratamiento médico con los retinoides, el 5-fluoro-uracilo e interferones para el tratamiento de las lesiones reneoplasicas. La creación de una vacuna contra el HPV podría tener un significativo impacto sobre esta patología.
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