Infection by the human papillomavirus in teenagers sexually active
clinic and subclinic manifestations
Keywords:
Condyloma, Teenager, Uterine coliAbstract
This research studies the association of the cervical condyloma with the intraepithelial neoplasia, during sex activity, pregnancy, diagnose methods, cytology and colposcopy in teenagers. The objective of this research is to study the propaedeutics for the uterine coli condyloma diagnose in a group of teenagers. For this purpose, we have studied 131 teenagers sexually active with ages between 14 and 19 years and presenting histologically confirmed uterine coli condyloma. Association with intraepithelial neoplasia, sexual ativity duration, method of diagnose, pregnancy analysis, cytology and colposcopy results and association with vulva and vagina injuries were evaluated. The high association rate with condyloma and intraepithelial neoplasia after a short time of sexual activity and the none presence of macroscopic warts in the genital organs in 80% of cases presenting cervical condyloma, demonstrate that: a more careful investigation with colposcopy.and biopsy of the inferior genitals of the women-teenagers sexually active is needed, when presenting modified cervical cytology.
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BECKER, T.M.; STONE, K.M.; ALEXANDER, E.R.: Genital human papillomavirus infection: a growing concern. Obst. Gynecol. Clin North Am., 14: 389, 1987.
BEURET, T.; SADOUL, G.; FARI, A.; IONESCO, M.; DE BRUX, J.: Etude epidemiologique comparative entre 120 patientes atteintes de lesions condylomateuse et 120 patientes temoin: J. Gynecol. Obstet. Biol. Reprod., 16:555, 1987.
BIRO, F.M. & HILLARD, P.: Genital human papillomavirus infection in adolescents. Adolesc. Med., 74: 1235, 1990.
BORING, C.C.; SQUIRE, T.S.; TONG, T.: Cancer statistics, 1992. CA-A Cancer J. Clinic., 42:19, 1992.
HAKAMA, M.; CHAMBERLAIN, J.; DAY, N.E.; MILLER, A.B.; PROROK, P.C.: Evaluation of screening programmes for gynaocological. Br. J. Cancer, 52:669, 1985.
HENRIQUES, M.H.; SILVA, N.V.; SINGH, S.; WULF, D.: Adolescentes de hoje, pais do amanhã: Brasil The Alan Guttmacher Institute, 88p, 1989. 7. KOUTSKY, L.A.; GALLAWAY, D.A.; HOLMES, K.K.: Epidemiology of human papillomavirus infection. Epidemiol. Rev., 10:122, 1988.
MARTINEZ, J.; SMITH, R.; FARMER, M.; RESEAU, J.; ALGER, L.; DANIEL, R.; GUPTA, J.; SHAK, K.; NAGHASHFAR, Z.: High prevalence of genital ract papillomavirus infection in female adolescents. Pediatrics, 82 (4): 604, 1988.
MOSCICKI, A.B.; PALEFSKY, J.; GONZALES, J.; SCHOOLNIK, G.K.: Human papillomavirus infection in sexually active adolescent female: prevalence and risk factors. Pediatr. res., 28: 507, 1990.
MOSCICKI, A.B.; WINKLER, B.; IRWIN, C.E.; SCHACHTER, J.: Differences in biologic maturation, sexual behavior and sexually transmitted disease between adolescents with and without cervical intraepithelial neoplasia. J. Pediatr., 115: 487, 1989.
RANDO, R.F.; LINDHEIM, S.; HASTY, L.; SEDLACEK, T.V.; WOODLAND, M.; EDER, C.: Increased frequency of detection of human papillomavirus desoxyribonucleic acid in exfoliated cervical cells during pregnancy. Am. J. Obstet. Gynecol., 161:50, 1989.
RIBAS, J.M.M.: Errores en la atencion ginecologica de ninas y adolescentes. Obst. Ginecol. Lat. Am., 47:280, 1989.
ROSENFELD, W.D.; VERMUD, S.; WENTZ, S.J.; BURK, R.D.: High prevalence rate of human papillomavirus infection and association with abnormal Papanicolau smears in sexually active adolescents. AJDC, 143:1443, 1989.
SEDLACEK, T.V. & PEIPERT, J.F.: Genital human papillomavirus infections. Postgraduate Obstetrics and Gynecology, 11(4):1, 1991.
