Prevención del cáncer de cérvix. Comparación de la calidad de la muestra según utilicemos bastoncillo o cepillo cervical

Horcajo, A.M. Redondo; Merino, Álvaro; Garrido, Ginés; Aranda, R. García

doi:10.1016/s0212-6567(00)78604-5

Cited by 3 publications

(1 citation statement)

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“…Importantly, women with endometriosis suffer from pain mainly in the uterus region which is topographically close to the bladder. Given this, urinary interoception is by far the closest way to assess uterine interoception that, unfortunately, can be measured directly only through invasive procedures like intrapelvic ultrasound and cervical swabs 60,68 . Moreover, uterine signals are mostly prominent in specific menstrual cycle phases and are measurable only via selfreport questionnaires, which may be influenced by subjectivity.…”

Section: Discussionmentioning

confidence: 99%

Impaired Gastric and Urinary but Preserved Cardiac Interoception in Women with Endometriosis

Cantoni,

Ciccarone,

Porpora

et al. 2024

Preprint

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Endometriosis is a chronic inflammatory gynaecological condition frequently associated with chronic pelvic pain. Visceral hypersensitivity could be present, like in other chronic pain conditions, causing altered levels of interoception. So far, studies have explored interoceptive deficits in chronic pain individuals exclusively using questionnaires or cardiac interoceptive tasks. Here, we explore cardiac, gastric, and urinary domains to probe interoceptive differences between patients with endometriosis and healthy women. 30 patients and 30 controls underwent three interoceptive tasks for assessing cardiac (through Heartbeat Counting Task, HCT), gastric (through Water Load Test-II, WLT-II) domains and bladder (through a novel Urinary Interoceptive Task, UIT) domain, which has been neglected so far. Participants also completed bladder interoceptive sensibility measures and subjective pain ratings for each endometriosis symptom (i.e., dysmenorrhea, dyspareunia, dyschezia, chronic pain). A positive correlation between WLT-II and UIT emerged in all participants (R=0.47, p<0.001), indicating that the lower the gastric interoceptive abilities, the lower the urinary ones. Moreover, compared to healthy controls, women with endometriosis exhibited lower scores in WLT-II (t(58) = 4.6814, p<0.001) and UIT (t(39.931)= 5.1462, p<0.001), as well as higher scores in subjective bladder sensibility questions (t(57.346)= -4.0304, p<0.001). UIT scores were associated with pain symptoms. Results indicate a dissociation between patients’ poor objective performance on interoceptive tasks and their high bladder interoceptive sensibility. UIT scores were associated with pain symptoms, suggesting that patients, probably due to sensitisation, struggle to ignore painful sensations, resulting in reduced accuracy in detecting physiological signals from the pelvic area.

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Section: Discussionmentioning

confidence: 99%

Impaired Gastric and Urinary but Preserved Cardiac Interoception in Women with Endometriosis

Cantoni,

Ciccarone,

Porpora

et al. 2024

Preprint

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¿Realizamos adecuadamente la detección precoz del cáncer de cérvix uterino desde atención primaria?

et al. 2003

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Papanicolaou durante la menstruación: evaluación de muestras en cuatro hospitales de Lima

López

Jerónimo

Quispe³

et al. 2013

An Fac med

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ResumenObjetivos: Analizar la factibilidad de obtener una muestra adecuada para el citodiagnóstico durante la menstruación, utilizando la técnica de tomar la muestra cuando el cuello del útero luzca limpio, luego de retirar el flujo menstrual de su superficie. Diseño: Estudio prospectivo, de correlación, de medidas repetidas. Participantes: Mujeres en edad reproductiva. Métodos: Participaron 389 mujeres que acudieron a cuatro hospitales de la región Lima Sur, de quienes se colectó 208 pares de muestras de Papanicolaou: una muestra correspondió al periodo menstrual y otra sin menstruación. La muestra durante la menstruación se obtuvo luego de limpiar suavemente la superficie del cuello uterino con un algodón seco y de esperar a que no hubiera pulso de flujo menstrual a través del os exocervical. Las muestras fueron analizadas separadamente por dos anatomopatólogas. Principales medidas de resultados: Adecuación de las muestras para Papanicolaou tomadas durante la menstruación. Resultados: En dos hospitales en donde las muestras fueron tomadas por personal sensibilizado y entrenado en la técnica, se halló que las muestras con y sin menstruación eran adecuadas para estudio citológico, sin diferencia estadísticamente significativa entre ellas (p < 0,005). En los otros dos hospitales, en donde las muestras fueron tomadas mayormente por personal sin entrenamiento, se halló que 75% de las muestras tomadas durante la menstruación correspondía a extendido hemorrágico, no adecuadas para el estudio del Papanicolaou, habiendo diferencia estadísticamente significativa entre muestras adecuadas con menstruación y sin menstruación (p < 0,005). Conclusiones: Los hallazgos nos permiten concluir para este estudio que es posible tomar una muestra adecuada para análisis del Papanicolaou durante la menstruación, si el personal de salud conoce cómo obtener una muestra sin sangre menstrual y está motivado. Este procedimiento puede incrementar el acceso a medidas de prevención del cáncer de cuello uterino. Palabras clave: Cérvix uterino, prueba del Papanicolaou, menstruación. Abstract Objectives: To analyze adequate Papanicolaou obtention feasibility during menstruation by thoroughly and softly cleaning the uterine cervix from blood before securing the sample. Design: Correlation prospective study of repeated measurements. Participants: Women in reproductive age. Methods: Three hundred and eighty nine women attending four Lima South region hospitals participated in the study; analysis was done in 208 of them after obtaining a pair of Papanicolaou smears from each woman corresponding to their menstrual and non menstrual periods. The smear taken during menstruation was collected after careful and soft cleaning of the uterine cervix and waiting for absence of menstrual pulse through the cervical os. Two pathologists studied the smears separately. Main outcome measures: Adequacy of Papanicolaou samples obtained during menstruation. Results: Smear samples from menstrual and non menstrual periods were adequate for cytodiagnosis and showed no s...

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Prevención del cáncer de cérvix. Comparación de la calidad de la muestra según utilicemos bastoncillo o cepillo cervical

Abstract: We have improved the smear adequacy 12% by using the cytobrush. We recommend the cytobrush for endocervical smears to avoid having to repeat the sample. We consider it necessary to indicate the smear adequacy in all pathology reports.

Cited by 3 publications

References 3 publications

Impaired Gastric and Urinary but Preserved Cardiac Interoception in Women with Endometriosis

Impaired Gastric and Urinary but Preserved Cardiac Interoception in Women with Endometriosis

¿Realizamos adecuadamente la detección precoz del cáncer de cérvix uterino desde atención primaria?

Papanicolaou durante la menstruación: evaluación de muestras en cuatro hospitales de Lima

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