Epidemiologic factors, risk factors and screening elements in the cervical neoplasia

Aim. The present study channels and materializes all the efforts made with the purpose of emphasizing a series of correlations between the statistical data and the elements of epidemiology, in order to obtain a profile of the patient with cervical neoplasia, underlining the risk factors that are frequently met in this condition. Material and methods. Between 2001-2009 there were 3472 consults for cervical neoplasia suspicion in the Section of Obstetrics and Gynecology of Sf. Apostol Andrei” Emergency Hospital in Gala i. We specifically investigated 1248 of them (35,9%), and 415 cases presented a changed PAP smear (12,0%). Most cases considered for the study had cytologic smears collected and, where there was an indication, we performed biopsies of the cervix. The cytologic smears were coloured using the Giemsa technique or the method with hematoxylin-eosin (H-E). Results. Based on the cases studied we noticed: an increasing tendency of this class of diseases; sexuality under 20 in 76,9% of the cases; 2 or more partners in 42,4% of the cases, 8/12 pregnancies occured in youth (16-20 years old). Conclusion. The continuously ascending mortality of the cervical cancer in our country justifies completely the fact that all the efforts target the primary and secondary prophilaxis of the disease and emphasizes the necessity to act immediately towards the population by implementing a screening programme that is able to reduce the impact of this neoplasia.