Abstract

ARENAS APONTE, Rosmar; HENRIQUEZ ROMERO, Danexys  and  GONZALEZ BLANCO, Mireya. Cáncer de cuello uterino en mujeres menores de 35 años y mayores de 60 años. Rev Obstet Ginecol Venez [online]. 2011, vol.71, n.4, pp.252-264. ISSN 0048-7732.

Objective: Evaluate the epidemiological and clinical characteristics in patients under 35 years old who attended the Maternidad Concepcion Palacios between 2005 and 2009, with cervical cancer. Methods: Retrospective, descriptive, comparative and analytical study of 61 patients with cervical cancer: 24.6 % under the age of 35 (Group A) and 75.4 % age 35 and over (Group B). Results: The onset of sexual activity was at 14.6±4.3 years in group A and 17.5±3.4 years in the B group (P = 0.03). The age of first pregnancy was 18 and 20 years, respectively (P = 0.036). There was no difference in the number of sexual partners, pregnancies, the smoking habit and use of oral contraceptives. The more frequent reason for consultation was genital bleeding in both groups. The predominant cytological diagnosis was high grade intraepithelial lesion (33.3 % and 19.6 % respectively). There was 80 % in Group A and 71.7 % in Group B with suspicion of invasion at the colposcopy. The most frequent histological type was epidermoid in both groups. In group A, the most frequent was the stage II and in group B was stage I. Conclusions: The incidence of cervical cancer was 1: 1 575 (24.6 % under 35 and 75.4 % patients in 35 years and over). In patients under the age of 35 years, the onset of sexual activity and age of first pregnancy are significantly lower. Clinical, pathological findings, the treatment prescribed and the evolution of the patients were independent of the age group.

Keywords : Cervical cancer; Epidemiology; Risk factors.