CANCER DE CUELLO UTERINO EN MUJERES MAYORES DE 76 AÑOS. COMPARACION CON PACIENTES MENORES DE 25 AÑOS

Carlos Castellano Soule; Carlos Santos Ortiz; Jorge García La Madrid; Oscar Barriga Noriega; Ricardo Galdós Hidalgo

doi:10.31403/rpgo.v30i659

Authors

Carlos Castellano Soule Jefe, Departamento de Ginecología, Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú
Carlos Santos Ortiz Departamento de Ginecología, Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú
Jorge García La Madrid Departamento de Patología, Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú
Oscar Barriga Noriega Departamento de Ginecología, Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú
Ricardo Galdós Hidalgo Departamento de Ginecología, Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú

DOI:

https://doi.org/10.31403/rpgo.v30i659

Abstract

Of the 17.326 patients with cervical cancer registered in the INEN between 1952 and 1979, 403 were 76 years or older at diagnosis (2.3%). The average age in this group was 80.6 years and older was 99 years. The first sex was at 19 and the average latency period 61 years, in contrast to 16 and seven years for the group of 123 patients under 25 years. The distribution showed predominance of clinical stay in the añosas advanced disease, although the parametrial involvement (comparison between stays A and B) was significantly lower (p <0.001) than in young, possibly due to anatomical changes involution. Squamous cell carcinoma was the predominant type and significantly more frequent (98%) in those over 76, with lower incidence of adenocarcinoma and mucoepidermoid carcinoma. The linioplasmocitario cervical stromal infiltrate was more frequent in younger patients, in which an inverse relationship between this reaction and the extent of the disease warned. The absence of these features in añosas patients could be interpreted as a decrease in responsiveness to neoplastic aggression.