einstein (São Paulo). 01/Mar/2015;13(1):52-7.

Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil

Neila Maria de Góis Speck, Juliana da Silva Pinheiro, Erica Ribeiro Pereira, Douglas Rodrigues, Gustavo Rubino de Azevedo Focchi, Julisa Chamorro Lascasas Ribalta

DOI: 10.1590/S1679-45082015AO3222

Objective
To analyze the occurrence of atypia in the cytology/histology examinations of young women under the age of 25 years and of elderly women aged over 64 years, in the Xingu Indigenous Park and to evaluate, in a subjective manner, if the age range for screening established by the Ministry of Health and the Instituto Nacional de Câncer is appropriate for this population.
Methods
The Xingu/UNIFESP Project, in partnership with the Center for Gynecological Disease Prevention, develops programs to prevent cervical cancer. The exploratory, retrospective and descriptive study of cytological and histopathological examinations of young (12-24 years) and elderly (aged 64 and over) women of the Xingu Indigenous Park, between 2005 and 2011.
Results
There was low occurrence of cytological atypia in the elderly female population, but there were occasional high-grade lesions in the indigenous youth.
Conclusion
Interrupting screening at the limit age of 64 years, as established by the Ministry of Health and the Instituto Nacional de Câncer is justified. However, screening of young women should begin at an earlier age.

Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil

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