PROGRAMA DE DETECCION Y CONTROL DE CANCER DE CUELLO UTERINO EN SERVICIO SALUD ARAUCANIA SUR
2002
RESUMENSe analizan algunas caracteristicas del Programa de Cancer de Cuello Uterino en el SS Araucania Sur.Se revisan los registros estadisticos de la Unidad de Oncologia Ginecologica y de la Oficina de Informaticadel Servicio del Salud. Se aprecia que el cancer de cuello uterino constituye el 68,19% de los canceresginecologicos, que la cobertura citologica promedio es de 56,2%, la focalizacion citologica en grupo de 25-64 anos ha mejorado hasta un 89,67%, la proporcion CIS/Ca invasor se ha incrementado desde 0,12 a 1,35,las etapas precoces de invasion (Etapa I) ascendieron hasta el 62,5%, la mortalidad ha tenido un descensode 34% (14,45 x 100.000 en 1991, 9,46 x 100.000 en 2000). Subsisten problema de calidad de la muestracitologica, necesidad de aumentar su cobertura y bajar en forma aun mas significativa la mortalidad,objetivo ultimo del Programa.PALABRAS CLAVES: Carcinoma cervico-uterino, programa de deteccionSUMMARYSome characteristics of the Program for cervical carcinoma in southern Araucania Health Service, areanalyzed. We reviewed the files of the Gynecological Oncology Unit and the Informatic Office; 68.19% ofdiagnosed Gynecological Carcinomas are Cancer of the Cervix uteri, the cytological coverage is 56.2%,89.67% of the cytologic smears are focused in the pre-established age risk group (25-64 yeras), the relationCa in situ / invasive Cancer has improved from 0.12 to 1.35; the early stages of invasive carcinoma (Stage I)increased to 62.5%, the mortality rate has decreased from 14.45 x 100.000 to 9.46 x 100.000 in 2000. We haveyet problems with the quality of smears, the need of increasing our cytological coverage and of course reducemore significatively the mortality rate, last objetive of the Program.KEY WORDS: Cervix uterus carcinoma, program for cervical cancer
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