8/13/2019 POSTER DETECCIN CNCER DE CRVIX CON IVAA ICCC5 Hernndez Nov 2013 Final

1/1Huaca of the Sun and Moon, moche, Trujillo . Huaca of the Sun and MoonTraining in VIA health care providers, midwives, doctors.

Autores: Hernndez M. Pedro; Torres Eduardo; Mantilla Marisela.

INTRODUCTION:The Cervical cancer in Trujillo has an incidence of

43.2/100.000, being the highest nationally.The 83.5% of cases of cervical cancer treated at theNORTH IREN are clinical stages II-IV.The Visual inspection with acetic acid (VIA) in healthfacilities and primary care in geographically remoteareas. is an alternative in screening cervical cancer.health providers trained in this technique of detection.

METHODOLOGY:We performed a descriptive, retrospective and

cross which analyzed the medical records of patients referred to NORTH IREN, during the years2011 and 2012, evaluated 276 patients who werescreened at the health facilities of the first level of care, with VIA and PAP results positive for todetermine the impact, effectiveness of the testand its correlation with colposcopy andhistopathology.

RESULTS:The 21.4% (59) of the patients referred to ourinstitution, had positive VIA results, while 78.6%

were lesions of high-grade cervicalintraepithelial, low grade. ASCUS. etc., in screeningpap.

Graphic 1: HISTOPATHOLOGY RESULTS OF PATIENTSSCREENED WITH VIA NORTH IREN 2011-2012.

CONCLUSIONS:The cervical cancer screening with VIA, is

performed in the primary care level by healthproviders, doctors, midwives trained at ourinstitution who report cases with positive resultsto the health network in Trujillo and the part of these patients screened VIA NORTH IREN arereferred to .The VIA provides immediate , of low cost andoutcomes of patients referred to NORTH IRENshow a high percentage of efficacy and correlationwith final histopathology, demonstrating thatproviders trained by our institution acquired the

capacity and competence to apply this technicalhealth facilities .This screening technique can be used in the secondlevel of care that does not have the necessaryequipment for the detection and diagnosis , so thatthese skills should be strengthened by trainingmore health providers in VIA, through the strategicprogramof cancer, throughout our region.

Effectiveness of Screening With Visual Inspection With Acetic Acid (VIA) of Cervical Cancer In The NORTH IREN in the of Years 2011-2012

Instituto Regional de Enfermedades Neoplsicas Dr. Luis Pinillos Ganoza IREN NORTETrujillo Per

BIOPSY/VIA frequency percentagecumulativepercentage

VALID

Carccinoma in situ 4.0 6.8 6.8

Infiltrantingcarcinoma 2.0 3.4 10.2

CIN I 14.0 23.7 33.9CIN II 17.0 28.8 62.7CIN III 11.0 18.6 81.3Negative 2.0 3.4 84.7

Metaplasia 4.0 6.8 91.5Chronic cervicitis 5.0 8.5

Total 59.0 100.0 100

Table 1: HISTOPATHOLOGY RESULTS OF PATIENTS SCREENEDWITH VIA NORTH IREN 2011-2012

Carccinomain situ 4

(7%)

InfiltrantingCarcinoma

2 (3%)

CIN I14

(24%)

CIN II17 (29%)

CIN III11 (19%)

Negative2 (3%)

Metaplasia4 (7%)

Chroniccervicitis 5

(8%)

The VIA positive results were confirmedhistopathology results in 81.3% (48) obtaining asdiagnosis CIN I II III or invasive carcinoma, whereas18.7% (11) were the results of chronic cervicitismetaplasiaor negative .