Cervical cancer: signs and symptoms in Primary Health Care
DOI:
https://doi.org/10.33448/rsd-v11i13.35891Keywords:
Cervical cancer; Basic care; Diagnosis.Abstract
Introduction: Cervical cancer is a neoplasm that begins as a precursor lesion that may or may not evolve into an invasive process. Different signs and symptoms can indicate its appearance, but it is a preventable and curable condition when diagnosed early. Objective: To analyze the possible most prevalent signs and symptoms in cervical cancer screening in primary health care (PHC). Method: This is an integrative review. The PRISMA instrument was used to write the study. The searches were carried out in three databases, resulting in 1002 studies, of which 7 were eligible to compose the final sample. A descriptive analysis of the data was performed. Results: Most of the included studies were developed in South Africa and published in 2020. Intermittent vaginal bleeding and vaginal bleeding during or after sex (100%), abnormal vaginal discharge (85,7%), pain and/or discomfort during gender (42,8%), and intermittent and/or persistent lower abdominal pain (28,5%) were identified as the main possible predictive signs and symptoms of cervical cancer in primary care. Other symptoms were evidenced less frequently within the sample. Conclusion: The study provided a descriptive integration of the main clinical manifestations characteristic for the development of cervical cancer, contributing to the expansion of the knowledge of students and professionals in this area and subsidizing the scientific production and provision of care in Primary Care.
References
Damacena, A. M., Luz, L. L & Mattos, I. E. (2017). Rastreamento do câncer do colo do útero em Teresina, Piauí: estudo avaliativo dos dados do Sistema de Informação do Câncer do Colo do Útero, 2006-2013. Epidemiologia e Serviços de Saúde, 26, 71-80.
Funston, G., O´Flynn, H., Ryan, N AJ., Hamilton, W & Crosbie, E. J. (2018). Recognizing Gynecological Cancer in Primary Care: Risk Factors, Red Flags, and Referrals. Adv Ther, 35, (4), 577-589. 10.1007/s12325-018-0683-3.
Harries, J., Scott, S. E., Walter, F. M., Mwaka, A. D & Moodley, J. (2020). Women's appraisal, interpretation and help-seeking for possible symptoms of breast and cervical cancer in South Africa: a qualitative study. BMC Womens Health, 20, (1), 251. 10.1186/s12905-020-01120-4.
Instituto Nacional do Câncer José Alencar Gomes da Silva, Brasil. (2021). Controle do câncer do colo do útero. https://www.inca.gov.br/tipos-de-cancer/cancer-do-colo-do-utero.
Kangmennaang, J., Onyango, E. O., Luginaah, I & Eliott, S. J. (2017). The next Sub Saharan African epidemic? A case study of the determinants of cervical câncer knowledge and screening in Kenya. Soc Sci Med, 197, 203-212. 10.1016/j.socscimed.2017.12.013.
Kurebayashi, J. M. Y., Barbieri, M & Gabrielloni, M. C. (2020). Rastreamento das atipias celulares de colo de útero em mulheres na Atenção Primária. Revista Brasileira de Enfermagem, 73, (6), e20190753.
Lim, A. W. W., Hamilton, W., Hollingworth, A., Stapley, S & Sasieni, P. (2016). Performance characteristics of visualising the cervix in symptomatic young females: a review of primary care records in females with and without cervical cancer. Br J Gen Pract, 66, (644), e189-92. 10.3399/bjgp16X683833.
Liu, H. L., Chen, C. M., Pai, L. W., Hwu, Y. J., Lee, H. M & Chung, Y. C. (2017). Comorbidity profiles among women with postcoital bleeding: a nationwide health insurance database. Arch Gynecol Obstet, 295, (4), 935-941. 10.1007/s00404-017-4327-7.
Momberg, M., Botha, M. H., Van Der Merwe, F. H & Moodley, J. (2017). Women's experiences with cervical cancer screening in a colposcopy referral clinic in Cape Town, South Africa: a qualitative analysis. BMJ Open, 7, (2), e013914. 10.1136/bmjopen-2016-013914.
Montero Lora, Y., et al. (2018). Principais fatores de risco no aparecimento do câncer do colo do útero. Medisan, Santiago de Cuba, 22, (5), 531-537.
Moodley, J., Harries, J., Scott, S. E., Mwaka, A. D., Saji, S & Walter, F. M. (2021). Exploring primary care level provider interpretation and management of potential breast and cervical cancer signs and symptoms in South Africa. E cancer medical Science, 30, (15), p.1298. 10.3332/ecancer.2021.1298.
Moodley, J., Walter, F. M., Scott, S. E & Mwaka, A. D. (2018). Towards timely diagnosis of symptomatic breast and cervical cancer in South Africa. S Afr Med J, 108, (10), p. 803-804. 10.7196/SAMJ.2018.v108i10.13478.
Mwaka, A. D., Walter, F. M., Scott, S. E., Harries, J., Wabinga, H & Moodley, J. (2021). Symptom appraisal, help-seeking and perceived barriers to healthcare seeking in Uganda: an exploratory study among women with potential symptoms of breast and cervical cancer. BMJ Open, 11, (2), e041365. 10.1136/bmjopen-2020-041365.
Mwaka, A. D., Okello, E. S., Wabinga, H & Walter, F. M. (2015). Symptomatic presentation with cervical cancer in Uganda: a qualitative study assessing the pathways to diagnosis in a low-income country. BMC Womens Health, 15, (15). 10.1186/s12905- 015-0167-4.
Omer, C., Schejter E., Agizim R., Schonman R., Chodick G., Fishman A & Hershko A. (2019). Postcoital bleeding is a predictor for cervical dysplasia. PLoS One, 14, (5), e0217396, 2019. 10.1371/journal.pone.0217396.
Ouzzani, M., Hammady, H., Fedorowicz, Z & Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Syst Ver, 5, (1), 210. 10.1186/s13643-016-0384-4.
Siqueira, V. A & Ribeiro, J. M. (2018). Fatores limitadores e facilitadores para o controle do câncer de colo de útero: Uma revisão de literatura. Ciências e saúde coletiva, 24, (9), 3431-3442.
Somanna, S. N., Murthy, S. N., Chaluvarayaswamy, R & Malila, N. (2020). Time from Self-Detection of Symptoms to Seeking Definitive Care among Cervical Cancer Patients. Asian Pac J Cancer Prev, 21, (11), 3301-3307. 10.31557/APJCP.2020.21.11.3301.
Stapley, S & Hamilton, W. (2011). Gynaecological symptoms reported by young women: examining the potential for earlier diagnosis of cervical cancer. Fam Pract, 28, (6), 592–598. 10.1093/fampra/cmr033.
Tayllon, B et al. (2020). Tendências da mortalidade por câncer de colo no Brasil em 5 anos (2012-2016). Saúde em Debate, 44, (145), 362-371.
Walker, S & Hamilton, W. (2017). Risk of cervical cancer in symptomatic women aged ≥ 40 in primary care: a case–control study using electronic records. Eur J Cancer Care, 26, (3), e12706.
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Copyright (c) 2022 Maria Loislene de Sousa ; Klégea Maria Câncio Ramos Cantinho; Larissa Nunes de Alencar; Izane Luiza Xavier Carvalho Andrade; Lucas Manoel Oliveira Costa; Sara Machado Miranda Leal Barbosa; Edmércia Holanda Moura ; Lívia Reverdosa Castro Serra; Marcus Vinícius de Carvalho Souza; Suely Moura Melo
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