Evidence for benefi ts from treating cervical ectopy: literature review
CONTEXT AND PURPOSE: Uterine cervical ectopy (cervical erosion) is today considered to be a physiological condition, but there still seems to be a strong tendency towards treating it. The purpose of this study was to review the medical literature for evidence regarding benefi ts from treating cervic...
| Autores: | , , |
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| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2008 |
| País: | Brasil |
| Recursos: | Associação Paulista de Medicina |
| Repositório: | São Paulo medical journal (Online) |
| Idioma: | inglês |
| OAI Identifier: | oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/1955 |
| Acesso em linha: | https://periodicosapm.emnuvens.com.br/spmj/article/view/1955 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Erosão cervical uterina Cervicite uterina Neoplasia intra-epitelial cervical Doenças do colo do útero Neoplasia do colo do útero Uterine cervical erosion Uterine cervicitis Cervical intraepithelial neoplasia Uterine cervical dysplasia Uterine cervical neoplasm |
| Resumo: | CONTEXT AND PURPOSE: Uterine cervical ectopy (cervical erosion) is today considered to be a physiological condition, but there still seems to be a strong tendency towards treating it. The purpose of this study was to review the medical literature for evidence regarding benefi ts from treating cervical ectopy. METHODS: The following databases were reviewed: Medical Literature Analysis and Retrieval System Online (Medline), Excerpta Medica Database (Embase), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) and Cochrane Library databases. In addition, six medical textbooks were consulted. RESULTS: The review showed that: 1) there is probably an association between ectopy and higher risk of Chlamydia trachomatis, human papillomavirus and human immunodefi ciency virus infection; 4) there is probably an association between ectopy and cervical intraepithelial neoplasia; 5) there is an association between ectopy and mucous discharge and nocturia; and 6) there is no evidence of an association between ectopy and cervical cancer, or of protection against cervical cancer associated with ectopy treatment. CONCLUSIONS: 1) No data were found in the medical literature to support routine treatment for ectopy; 2) Treatment could be recommended for symptom relief, but more symptoms are attributed to ectopy than could be demonstrated in a controlled study; 3) Further studies to test the hypothesis of protection against cervical cancer associated with treatment are necessary. |
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