MELO, B. T. G.; MELO, BIANCA TAVEIRA GONÇALVES.; http://lattes.cnpq.br/3798463020909651; MELO, Bianca Taveira Gonçalves.
Résumé:
Squamous atypias are cervical cell changes that may indicate a risk of cervical cancer (CC),
the third most common cancer death among women. The Pap smear is the gold standard for
screening for CC and its precursor lesions. However, the age group defined 36 years ago does
not include adolescents, who are now in constant contact with many risk factors. In light of
this, the objective of this study was to evaluate the prevalence of epithelial atypias in
adolescents. To conduct the study, a bibliographic survey was conducted through a narrative
review. It was found that studies have been developed with sample groups composed entirely
of adolescents or including them, with ages between 10 and 19 years. Regarding risk factors,
the use of oral contraceptives was the most prominent factor, followed by inflammation, early
sexual intercourse, multiple sexual partners, and HPV infection. It was observed that there is a
prevalence of epithelial atypias in adolescents, the most prevalent being LSIL, followed by
ASCUS and HSIL. It is concluded that in view of the new social and behavioral factors of
contemporary youth, there is an urgent need to reassess the scope of CC screening to include
adolescents who are vulnerable and in constant contact with risk factors.