Limitation of cytology and the impact on reduction of cervical cancer


  • Daniela da Silva Alves Monteiro Universidade Federal Fluminense
  • Isabel Cristina Chulvis do Val Guimarães Universidade Federal Fluminense
  • Susana Cristina Aidé Viviani Fialho Universidade Federal Fluminense
  • Caroline Alves de Oliveira Martins Universidade Federal Fluminense
  • Luis Guillermo Coca Velarde Universidade Federal Fluminense
  • Priscila Loyola Campos Universidade Federal Fluminense
  • Izabel Cristina dos Santos Teixeira Universidade Federal Fluminense
  • Julia Sampaio de Souza Morais Universidade Federal Fluminense



Papanicolaou test, papillomavirus infections, cervical intraepithelial neoplasia, prevalence


Introduction: Cervical cancer is the third most common malignant tumor in the female population and the fourth cause of death from cancer in women in
Brazil. The squamocolumnar junction and the transformation zone concentrate 90% of pre-invasive and invasive cervical lesions. Objective: To evaluate
the prevalence of cytology without cells of the squamocolumnar junction and feasibility of active search. Methods: Cross-sectional study at a university
hospital between 2017 and 2018. The prevalence of cytology without squamocolumnar junction cells was calculated. A convenience sample was obtained
and mean age and relationship with presence of transformation zone cells were calculated. An active search was performed and cytology collected, with
estrogen preparation if indicated. Medical records of the other women were analyzed. Results: Squamocolumnar junction cells were not found in 28.84%
of samples. Mean age was 53 years, without association with presence of squamocolumnar junction cells (p=0.409). Seventy-six women returned, 36 of
which (47.37%) used estrogen. Level 2 or 3 cervical intraepithelial neoplasia, microinvasive carcinoma or cancer was not identified. A total of 134 medical
records were analyzed; only 36 women (26.87%) completed screening. Conclusions: The presence of squamocolumnar junction cells indicates quality of
cytology; the use of es


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How to Cite

Monteiro D da SA, Val Guimarães ICC do, Viviani Fialho SCA, Martins CA de O, Velarde LGC, Campos PL, et al. Limitation of cytology and the impact on reduction of cervical cancer. DST [Internet]. 2022 May 16 [cited 2024 Apr. 15];34. Available from:



Original Article