Prevalence of cytologic lesions in IMSS beneficiaries, 2018-2022
Keywords:
Cervical cancer, Papanicolaou test, Cytology, Prevalence, Secondary data analysisAbstract
Cervical cytology or Papanicolaou (PAP), which studies the exfoliated cells of the cervix, has revolutionized public health worldwide by reducing the incidence and mortality from cervical cancer (CaCu). In Mexico, the incidence ranks fifth with 13.2 per 100,000 women, and the 5-year prevalence is 49.8 per 100,000 women. However, the precise prevalence is unknown. The aim of the present study was to describe the prevalence of cervical lesions in female beneficiaries of the Mexican Social Security Institute (IMSS), by age group and region of the country. A secondary analysis of data, captured from 2018 to 2022, from the CaCu module of the IMSS Institutional Cancer Registry (RIC) was performed from 3,581,098 unique cytology records of women aged 25 to 95 years. The prevalent result was negative for lesion (97.5%), the rest were suspicious for cervical lesions (2.5%), of which low grade lesions were the most prevalent. The descriptive analysis showed that 27.77% were records of women aged 45 to 54 years. The 32.59% of the records correspond to the center of the country. Regarding cytological results by year, the lowest prevalence was reported in 2018 (4.68%), while the highest corresponded to 2022 (34.42%). These data allowed determining that premalignant lesions are prevalent in IMSS during 2018-2022, compared to the other cytological results.
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References
Alonso de Ruiz, P., Lazcano Ponce, E. C., & Ávila, M. H. (2005). Cáncer Cervicouterino. Diagnóstico, prevención y control. (Incluye Cd-rom). Ed. Médica Panamericana.
American Cancer Society. (2024). Factores de riesgo para el cáncer de cuello uterino. cancer.org.
Barquet-Muñoz, S. A., Arteaga-Gómez, C., Díaz-López, E., Rodríguez-Trejo, A., Marquez-Acosta, J., & Aranda-Flores, C. (2024). Current status and challenges in timely detection of cervical cancer in Mexico: expert consensus. Frontiers in Oncology, 14, 1383105. http://dx.doi.org/10.3389/fonc.2024.1383105
Bergeron, C. (2003). The 2001 Bethesda System. Salud Publica Mex; Instituto Nacional de Salud Pública. http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0036-36342003000900007&lng=es&nrm=iso&tlng=en
Boon, S. S., Luk, H. Y., Xiao, C., Chen, Z., & Chan, P. K. S. (2022). Review of the Standard and Advanced Screening, Staging Systems and Treatment Modalities for Cervical Cancer. Cancers, 14(12). https://doi.org/10.3390/cancers14122913
Brau-Figueroa, H., Palafox, A., & Mohar-Betancourt, A. (2020). El Registro Nacional de Cáncer en México, una realidad. Mexican Journal of Oncology, 19(3). https://doi.org/10.24875/j.gamo.20000030
Cancer Today. (2022). https://gco.iarc.who.int/today/
Canfell, K. (2019). Towards the global elimination of cervical cancer. Papillomavirus Research (Amsterdam, Netherlands), 8, 100170. http://dx.doi.org/10.1016/j.pvr.2019.100170
Coordinación de Vigilancia Epidemiológica. (2024). Panorama epidemiológico de las Noeplasias Malignas en las mujeres del IMSS 2023. Scribd. https://es.scribd.com/document/792419116/Panorama-Cancer-Mujereres-IMSS-2023
González-López, S., Martínez-Silva, M. G., Hernández-Hernández, D. M., Aguilar-Lemarroy, A., & Jave-Suárezd, L. F. (2015). Frecuencia de lesiones epiteliales cervicales reportadas en el Laboratorio Regional de Citología Exfoliativa de Jalisco. Rev Med Inst Mex Seguro Soc, 53(2), 132–139. https://www.medigraphic.com/pdfs/imss/im-2015/ims152d.pdf
Herrera-Cuenca, M. (2017). Mujeres en edad fértil: Etapa crucial en la vida para el desarrollo óptimo de las futuras generaciones. Anales Venezolanos de Nutricion, 30(2). http://www.analesdenutricion.org.ve/ediciones/2017/2/art-5/
IMSS. (2017). Impulsa Fundación IMSS Registro Nacional de Cáncer. IMSS. http://www.imss.gob.mx/prensa/archivo/201702/031
IMSS. (2023). Llama IMSS a las derechohabientes realizarse examen de Papanicolaou para prevenir cáncer cervicouterino. imss.gob.mx. https://www.imss.gob.mx/prensa/archivo/202308/391
INEGI. (2023). Mujeres y hombres en México 2021-2022. INEGI. https://www.inegi.org.mx/contenidos/productos/prod_serv/contenidos/espanol/bvinegi/productos/nueva_estruc/889463907381.pdf
Lazcano-Ponce, E., Palacio-Mejia, L. S., Allen-Leigh, B., Yunes-Diaz, E., Alonso, P., Schiavon, R., & Hernandez-Avila, M. (2008). Decreasing Cervical Cancer Mortality in Mexico: Effect of Papanicolaou Coverage, Birthrate, and the Importance of Diagnostic Validity of Cytology. Cancer Epidemiol Biomarkers Prev, 17(10), 2808–2817. https://doi.org/10.1158/1055-9965.EPI-07-2659
Mayorga-Bautista, C. D., Hidalgo-Martínez, S. M., Romo-Rodríguez, M. R., & Villareal-Ríos, E. R.-A. O. M. (2023). Concordancia de los hallazgos citológicos, colposcópicos e histológicos en lesiones premalignas del cuello uterino. Ginecol Obstet Mex, 91(1), 32–38. doi:10.24245/gom.v91i1.8249
Mendoza, Z. (2017). Programa de detección del cáncer cervicouterino: políticas públicas y experiencias de los actores que implementan el programa en el estado de Veracruz, México. Salud Colectiva, 13(3), 521–535. http://dx.doi.org/10.18294/sc.2017.1122
Organización Internacional del Trabajo. (2024). Edad productiva en mujeres. International Labour Organization. https://www.ilo.org/es/home
Organización Mundial de la Salud. (2023). Cáncer de cuello uterino. Organización Mundial de la Salud. https://www.who.int/es/news-room/fact-sheets/detail/cervical-cancer?utm_source=chatgpt.com
Osuna-Espinoza, G. E., Méndez-Martínez, R. S., Durán-Pérez, S. A., Báez-Flores, M. E., Vázquez-Vega, S., Osuna-Ramírez, I., & Maldonado, J. G. R. (2024). Frecuencia y distribución de genotipos del virus del papiloma humano en mujeres atendidas en hospitales públicos de Culiacán, Sinaloa. QUIBIOUAS Revista de Ciencias Químico Biológicas, 2, 11–22. https://orcid.org/0009-0007-1399-1543
Pangarkar, M. A. (2022). The Bethesda System for reporting cervical cytology. CytoJournal, 19, 28. http://dx.doi.org/10.25259/CMAS_03_07_2021
PROGRAMA SECTORIAL DE COMUNICACIONES Y TRANSPORTES 2001-2006. (2007). Enfoque regional y sustentab ilidad. https://www.gob.mx/cms/uploads/attachment/file/67641/CAP-08.pdf
Richart, R. M. (1967). NATURAL HISTORY OF CERVICAL INTRAEPITHELIAL NEOPLASIA. Clinical Obstetrics and Gynecology, 10(4), 748. https://journals.lww.com/clinicalobgyn/abstract/1967/12000/natural_history_of_cervical_intraepithelial.2.aspx
Safaeian, M., Solomon, D., & Castle, P. E. (2007). Cervical cancer prevention--cervical screening: science in evolution. Obstetrics and Gynecology Clinics of North America, 34(4), 739–760, ix. http://dx.doi.org/10.1016/j.ogc.2007.09.004
Saslow, D., Solomon, D., Lawson, H. W., Killackey, M., Kulasingam, S. L., Cain, J., Garcia, F. A. R., Moriarty, A. T., Waxman, A. G., Wilbur, D. C., Wentzensen, N., Downs, L. S., Spitzer, M., Moscicki, A.-B., Franco, E. L., Stoler, M. H., Schiffman, M., Castle, P. E., & Myers, E. R. (2012). American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology Screening Guidelines for the Prevention and Early Detection of Cervical Cancer. American Journal of Clinical Pathology, 12(4), 516–542. https://doi.org/10.1309/AJCPTGD94EVRSJCG
Scott, M., Nakagawa, M., & Moscicki, A.-B. (2001). Cell-Mediated Immune Response to Human Papillomavirus Infection. Clinical and Diagnostic Laboratory Immunology. https://doi.org/10.1128/cdli.8.2.209-220.2001
Secretaria de Salud. (2007). Modificación a la Norma Oficial Mexicana NOM-014-SSA2-1994, Para la prevención, detección, diagnóstico, tratamiento, control y vigilancia epidemiológica del cáncer cérvico uterino. Diario Oficial. https://ijc.gob.mx/arc/8/ll/e/E_NOM014.pdf
Seefoó-Jarquín, P., Sosa-Jurado, F., & Maycotte-González, P. (2023). Panorama epidemiológico de las displasias cervicales en una unidad de primer nivel de atención. Revista Médica Del Instituto Mexicano Del Seguro Social, 61(2), 155. https://pmc.ncbi.nlm.nih.gov/articles/PMC10395894/
Sellors, J. W., & Sankaranarayanan, R. (2003). La colposcopia y el tratamiento de la neoplasia intraepitelial cervical: Manual para principiantes. Centro Internacional de Investigaciones Sobre El Cáncer Lyon Francia. https://screening.iarc.fr/colpo.php?lang=3
Toro de Méndez, M., & Azuaje de Inglessis, A. B. (2022). Importancia de la adecuación de la muestra citológica en la pesquisa de cáncer de cuello uterino. Revista Repertorio de Medicina Y Cirugía, 31(3), 215–222. http://dx.doi.org/10.31260/repertmedcir.01217372.1085
Torres-Roman, J. S., Ronceros-Cardenas, L., Valcarcel, B., Bazalar-Palacios, J., Ybaseta-Medina, J., Carioli, G., La Vecchia, C., & Alvarez, C. S. (2022). Cervical cancer mortality among young women in Latin America and the Caribbean: trend analysis from 1997 to 2030. BMC Public Health, 22(1), 113. http://dx.doi.org/10.1186/s12889-021-12413-0
Wentzensen, N., & Clarke, M. A. (2021). Cervical Cancer Screening-Past, Present, and Future. Cancer Epidemiology, Biomarkers & Prevention : A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 30(3), 432–434. http://dx.doi.org/10.1158/1055-9965.EPI-20-1628
Wentzensen, N., Clarke, M. A., & Perkins, R. B. (2021). Impact of COVID-19 on cervical cancer screening: Challenges and opportunities to improving resilience and reduce disparities. Preventive Medicine, 151. https://doi.org/10.1016/j.ypmed.2021.106596
zur Hausen, H. (1996). Papillomavirus infections--a major cause of human cancers. Biochimica et Biophysica Acta, 1288(2). https://doi.org/10.1016/0304-419x(96)00020-0
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The authors declare that they have no conflicts of interest. The project was approved by the research and ethics committee, R-2022-3605-074.
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