Microinvasive carcinoma of the uterine cervix in a 14-year-old adolescent

case report and literature review

Authors

  • Carla Vitola Gonçalves Fundação Universidade Federal do Rio Grande
  • Silvana Maria Quintana Universidade Federal do Rio Grande
  • Alessandra Cristina Marcolin Universidade Federal do Rio Grande
  • Geraldo Duarte Universidade Federal do Rio Grande
  • Juvenal Soares Dias da Costa Universidade Federal do Rio Grande
  • Fabine Karam Universidade Federal do Rio Grande
  • Mônia Steigleder Bianchi Universidade Federal do Rio Grande

Keywords:

Uterine cervical neoplasms, Colposcopy, Papillomavirus infections, Adolescent, Uterine cervical diseases

Abstract

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.

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Author Biographies

Carla Vitola Gonçalves, Fundação Universidade Federal do Rio Grande

MD. Adjunct professor, Mother and Child Department, Fundação Universidade Federal do Rio Grande (FURG), Rio Grande do Sul, Brazil.

Silvana Maria Quintana, Universidade Federal do Rio Grande

MD. Assistant professor, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Alessandra Cristina Marcolin, Universidade Federal do Rio Grande

MD. Medical gynecologist and obstetrician, Hospital das Clínicas (HC), Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Geraldo Duarte, Universidade Federal do Rio Grande

MD, PhD. Titular professor, Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Juvenal Soares Dias da Costa, Universidade Federal do Rio Grande

MD. Adjunct professor, Department of Social Medicine, Universidade Federal de Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.

Fabine Karam, Universidade Federal do Rio Grande

MD. Medical resident in Gynecology and Obstetrics, Fundação Universidade Federal do Rio Grande (FURG), Rio Grande do Sul, Brazil.

Mônia Steigleder Bianchi, Universidade Federal do Rio Grande

Medical student, Fundação Universidade Federal do Rio Grande (FURG), Rio Grande do Sul, Brazil.

References

World Health Organization. Comprehensive cervical cancer control: A guide to essential practice. Geneva: World Health Organization; 2006. Available from: http://www.who.int/reproductive-health/publications/cervical_cancer_gep/text.pdf. Accessed in 2009 (Mar 3).

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Instituto Nacional de Cân- cer. Coordenação de Prevenção e Vigilância de Câncer. Estimativa 2008: Incidência de câncer no Brasil. Rio de Janeiro: INCA; 2007. Available from: http://www.inca.gov.br/estimativa/2008/versaofinal.pdf. Accessed in 2009 (Mar 3).

Moscicki AB. Cervical cytology testing in teens. Curr Opin Obstet Gynecol. 2005;17(5): 471-5.

Moore K, Cofer A, Elliot L, Lanneau G, Walker J, Gold MA. Adolescent cervical dysplasia: histologic evaluation, treatment, and outcomes. Am J Obstet Gynecol. 2007;197(2):141. e1-6.

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Monteiro DLM, Trajano AJB, Silva KS, Russomano FB. Doença cervical pré-invasiva e câncer cérvico-uterino em adolescentes brasileiras: prevalência e fatores associados [Pre-invasive cervical disease and uterine cervical cancer in Brazilian adolescents: prevalence and rela- ted factors]. Cad Saúde Pública = Rep Public Health. 2006;22(12):2539-48.

Insinga RP, Glass AG, Rush BB. Diagnoses and outcomes in cervical cancer screening: a population-based study. Am J Obstet Gynecol. 2004;191(1):105-13.

Nascimento MI, Pires ES, Gil DQ, et al. Características de um grupo de adolescentes com suspeita de neoplasia intra-epitelial cervical [Characteristics of a group of adolescents with suspected cervical intraepithelial neoplasia]. Rev Bras Ginecol Obstet, 2005;27(10): 619-26.

Kahn JA, Rosenthal SL, Succop PA, Ho GY, Burk RD. The interval between menarche and age of first sexual intercourse as a risk factor for subsequent HPV infection in adolescent and young adult women. J Pediatr. 2002;141(5):718-23.

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Published

2009-03-03

How to Cite

1.
Gonçalves CV, Quintana SM, Marcolin AC, Duarte G, Costa JSD da, Karam F, Bianchi MS. Microinvasive carcinoma of the uterine cervix in a 14-year-old adolescent: case report and literature review. Sao Paulo Med J [Internet]. 2009 Mar. 3 [cited 2025 Oct. 15];127(2):105-7. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1857

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Section

Case Report