Prevalência de lesões anorretais em mulheres com lesões genitais induzidas pelo papilomavírus humano

Abstract

Propose: This study aims to determine the prevalence of anoscopies and anal cytology altered in patients with cervical lesions induced by HPV, in order to bring relevance to the adoption of such tests routinely in patients with cervical lesions. Methods: A cross-sectional, observational, and descriptive study was conducted in 72 patients with cervical lesions by anal cytology and anoscopy exams, made in the same query. For cytological collection, we used an endocervical brush, being considered altered cytology those where the smear contained coilocytes, suggestive of the presence of HPV. To perform anoscopy, the patients underwent a previous preparation and then introduce anoscope with the aid of lidocaine gel and applied at 3% acetic acid. The patients with atypical areas anoscopy were scheduled for anus biopsy. The following variables were collected: age, location, number of pregnancies, number of births, type of injury, the result of anoscopy, the result of cytology. Results: The most frequent finding in the anoscopies was the acetowhite epithelium (EAB) in 43 (56.9%). The most frequent cytologic finding for koilocytosis was 33 (45.8%) and there were 6 (8.3%) HPV cytoarchitectural biopsies. There was no association between cytological and anoscopic findings, 0.7. Conclusions: there was a significant prevalence of altered anoscopies in patients with cervical lesion. There was no statistically significant association.