Women with HIV and their association with atypia and intraepithelial lesions of the cervix in Guayaquil, Ecuador
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Ulloa Ochoa P, Palomeque Bueno J, Ronquillo Torresano S. Women with HIV and their association with atypia and intraepithelial lesions of the cervix in Guayaquil, Ecuador. Rev.méd.sinerg. [Internet]. 2019Nov.1 [cited 2024Jul.27];4(11):e298. Available from: https://revistamedicasinergia.com/index.php/rms/article/view/298

Abstract

Background: ASC - US referred to the presence of atypical squamous cells of importance not determined given that p ou can progress to squamous intraepithelial lesions and carcinoma of the cervix, its link to HIV is the subject of analysis. The objective is to determine the association of intraepithelial lesions in seropositive patients. Methods: It was performed studio, descriptive, retrospective at the Infectious Diseases Hospital José Daniel Rodríguez Maridueña in 32 women with a diagnosis of atypical   cell by Pap test, from January 2013 to March 2016. They are variables of age, tested seropositive HIV seronegative HIV, cytologic result. Results: Within the first group (seropositive) 71% had viral load less than 20, the value of CD4 was greater than 500 43%, before surgery the largest retroviral scheme used was (TDF + FTC + EFV ) With 50% of the patients, in regard to previous vaginal cytology, it was identified that ASCUS led with 71%, the only patient who presented high-grade LIE was one of those with the highest viral load. The 18 72% seronegative patients presented ASCUS, 3 LIE BG, 2 LIE AG and no carcinoma. Conclusion: We conclude indicating that the most frequent cytological report is ASCUS, the prevalence of cervical carcinoma in situ was zero, that intraepithelial lesions of low grade and high grade can be related to a decrease in CD4 and increased  the viral of the load.

https://doi.org/10.31434/rms.v4i11.298

Keywords

HIV. cervix uteri. cervical intraepithelial neoplasia.
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