Microinvasive carcinoma of the uterine cervix in a 14-year-old adolescent: case report and literature review

Author:

Gonçalves Carla Vitola1,Quintana Silvana Maria2,Marcolin Alessandra Cristina2,Duarte Geraldo2,Costa Juvenal Soares Dias da2,Karam Fabine1,Bianchi Mônia Steigleder1

Affiliation:

1. Fundação Universidade Federal do Rio Grande, Brazil

2. Universidade de São Paulo, Brazil

Abstract

CONTEXT: Cancer of the uterine cervix is rare during adolescence. The reported rates are 0/100,000 adolescents aged 10 to 19 years and 1.7/100,000 women aged 20 to 24 years. However, several studies have shown increasing incidence of preneoplastic lesions at increasingly early ages. CASE REPORT: This paper reports a case of microinvasive carcinoma of the uterine cervix in a 14-year-old patient with menarche at 10 years of age and first coitus at 12 years of age. The objective of the present report was to alert gynecologists and pediatricians regarding the need for cervical carcinoma prevention among sexually active adolescents, based on educational programs that explain the purpose of colpocytological examinations and encourage their use, along with condom use and limitation of the number of sexual partners.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference11 articles.

1. Comprehensive cervical cancer control: A guide to essential practice,2006

2. Estimativa 2008: Incidência de câncer no Brasil,2007

3. Cervical cytology testing in teens;Moscicki AB;Curr Opin Obstet Gynecol.,2005

4. Adolescent cervical dysplasia: histologic evaluation, treatment, and outcomes;Moore K;Am J Obstet Gynecol.,2007

5. Cervical intraepithelial neoplasia in adolescents: study of cytological findings between 1987 and 1995 in São Paulo State-Brazil;Utagawa ML;Arch Gynecol Obstet.,1998

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