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Review
. 2009 May;127(2):105-7.
doi: 10.1590/s1516-31802009000200010.

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

Carla Vitola Gonçalves  1 , Silvana Maria Quintana, Alessandra Cristina Marcolin, Geraldo Duarte, Juvenal Soares Dias da Costa, Fabine Karam, Mônia Steigleder Bianchi
Affiliations
Review

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

Carla Vitola Gonçalves et al. Sao Paulo Med J. 2009 May.

Abstract
in English, Portuguese

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.

CONTEXTO:: O câncer do colo uterino é raro na adolescência, apresentando taxas de incidência de 0/100.000 adolescentes com idade entre 10 a 19 anos e de 1,7/100.000 mulheres com idade entre 20 e 24 anos. Entretanto, vários estudos mostram a incidência crescente das lesões pré-neoplásicas em idade cada vez menores.

RELATO DE CASO:: Este artigo relata um caso de carcinoma microinvasor do colo uterino em paciente de 14 anos com menarca aos 10 anos e a primeira relação aos 12 anos. Com este relato objetivamos alertar a comunidade médica, principalmente ginecologistas e pediatras, para a prevenção do carcinoma cervical entre adolescentes com vida sexual ativa. Além da realização de projetos educativos que divulguem a finalidade do exame citopatológico, o uso de preservativos e o controle do número de parceiros sexuais.

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Conflict of interest statement

Conflict of interest: None

References

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