Infection by the human papillomavirus in teenagers sexually active: clinic and subclinic manifestations

This research studies the association of the cervical condyloma with the intraepithelial neoplasia, during sex activity, pregnancy, diagnose methods, cytology and colposcopy in teenagers. The objective of this research is to study the propaedeutics for the uterine coli condyloma diagnose in a group of teenagers. For this purpose, we have studied 131 teenagers sexually active with ages between 14 and 19 years and presenting histologically confirmed uterine coli condyloma. Association with intraepithelial neoplasia, sexual ativity duration, method of diagnose, pregnancy analysis, cytology and colposcopy results and association with vulva and vagina injuries were evaluated. The high association rate with condyloma and intraepithelial neoplasia after a short time of sexual activity and the none presence of macroscopic warts in the genital organs in 80% of cases presenting cervical condyloma, demonstrate that: a more careful investigation with colposcopy.and biopsy of the inferior genitals of the women-teenagers sexually active is needed, when presenting modified cervical cytology.OBJETIVO: o objetivo desta pesquisa é estudar a propedêutica para diagnóstico do condiloma do colo uterino em um grupo de adolescentes. MATERIAL E MÉTODOS: para este propósito, 131 adolescentes sexualmente ativas com idade entre 14 e 19 anos, com condiloma histologicamente confirmado do colo uterino, foram estudadas. A associação com neoplasia intraepitelial, a duração da atividade sexual, o método diagnóstico, o estado gestacional, os resultados da citologia e da colposcopia e a associação com lesões vulvares e vaginais foram avaliados. RESULTADO E CONCLUSÃO: a alta associação entre condiloma e neoplasia intra-epitelial, após um curto período de atividade sexual e a ausência de verrugas macroscópicas nos órgãos genitais em 80% dos casos com condiloma cervical mostram a necessidade de uma investigação cuidadosa com colposcopia e biópsia do trato genital inferior em mulheres adolescentes sexualmente ativas, com citologia cervical alterada.94895

Punção aspirativa por agulha fina: desempenho no diagnóstico diferencial de nódulos mamários palpáveis Fine needle aspiration biopsy: performance in the differential diagnosis of palpable breast masses

Objetivo: avaliar, de forma prospectiva, o desempenho da punção aspirativa por agulha fina (PAAF) no diagnóstico diferencial de nódulos mamários palpáveis. Método: avaliaram-se a sensibilidade, a especificidade, os valores preditivos e a acurácia deste teste em 102 mulheres com idade superior a 30 anos, com nódulos mamários palpáveis, atendidas na Universidade Estadual de Campinas. As punções foram realizadas por um único examinador. Resultados: o procedimento teve sensibilidade de 97%, especificidade de 87%, valor preditivo positivo de 94% e negativo de 93%. A taxa de material insuficiente ou insatisfatório foi de 16% na primeira punção, diminuindo para 2% com uma nova PAAF. Conclusões: Este teste mostrou-se altamente sensível e específico no diagnóstico diferencial de nódulos mamários palpáveis, reafirmando-se a sua grande importância na abordagem clínica de nódulos palpáveis.<br>Purpose: to evaluate, in a prospective way, the performance of the fine needle aspiration biopsy in the differential diagnosis of palpable breast masses. Method: the sensitivity, specificity, positive and negative predictive values for this test were evaluated in 102 women with age above 30 years and a palpable breast mass, who were attended at the University of Campinas. All punctures were performed by the same examiner. Results: the procedure had a sensitivity of 97%, specificity of 87%, positive predictive value of 94% and negative predictive value of 93%. The insufficient or unsatisfactory sample rate was 16% for the first aspiration, decreasing to 2% with a new procedure. Conclusions: this test showed to be highly sensitive and specific for the differential diagnosis of palpable breast masses, reassuring its great importance for the clinical approach of palpable masses

Infection by the human papillomavirus in teenagers sexually active: clinic and subclinic manifestations

This research studies the association of the cervical condyloma with the intraepithelial neoplasia, during sex activity, pregnancy, diagnose methods, cytology and colposcopy in teenagers. The objective of this research is to study the propaedeutics for the uterine coli condyloma diagnose in a group of teenagers. For this purpose, we have studied 131 teenagers sexually active with ages between 14 and 19 years and presenting histologically confirmed uterine coli condyloma. Association with intraepithelial neoplasia, sexual ativity duration, method of diagnose, pregnancy analysis, cytology and colposcopy results and association with vulva and vagina injuries were evaluated. The high association rate with condyloma and intraepithelial neoplasia after a short time of sexual activity and the none presence of macroscopic warts in the genital organs in 80% of cases presenting cervical condyloma, demonstrate that: a more careful investigation with colposcopy.and biopsy of the inferior genitals of the women-teenagers sexually active is needed, when presenting modified cervical cytology