"Correlación de hallazgos colposcópicos e histopatológicos en lesiones cervicales asociadas o no a papiloma virus en pacientes femeninas atendidas en Solca- unidad oncológica Tungurahua”.

Abstract

Introduction: Cervical cancer (CaCu) constitutes a growing threat that threatens the lives of women around the world, Ecuador becomes vulnerable to this type of pathologies due to various factors where the lack of adherence to screening and the prevalence of HPV seem to be more relevant indicators.

Objective: To correlate the colposcopic and histopathological findings of cervical lesions associated or not with the Human Papilloma Virus (HPV), with the degree of progression to CaCu in patients assisted at SOLCA Tungurahua Oncology Unit.

Methodology: This is a prospective descriptive study involving 84 patients, using information documented by SOLCA - Tungurahua Oncology Unit. A correlation was made between the CaCu screening tests and the behavior of the lesions over time, which were directed towards remission, persistence, regression or progression of the disease.

Results: Of the 84 patients in the study population, 20 patients started with negative tests and 64 patients had alterations in the screening tests at first contact, whose lesions experienced remission in 30 patients (47%), regression in 1 patient (2%) , persistence in 25 patients (39%), and progression in 8 patients (13%). In the end, 8 patients ended up with a diagnosis of CaCu where colposcopic and histopathological findings were correlated consistently in 75% of cases and HPV had an impact in 88%, respectively. 100% of patients who experienced progression of the cervical pathology were due to the lack of adherence to consecutive screening and timely treatment.

Conclusions: This study determined that there is a good correlation between colposcopic and histopathological findings in patients with a diagnosis of UC, where the degree of progression of the lesions is directly associated with the lack of adherence to screening and timely treatment, HPV is a factor risk is important but not essential in the evolution of CaCu, as there are other factors involved in the pathogenesis of the disease.