<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022017000100022</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis epidemiológico de mujeres con carcinoma epidermoide de cérvix, 2007-2015]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiological analysis of women with cervical squamous cell carcinoma 2007-2015]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiological analysis of women with cervical squamous cell carcinoma 2007-2015]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caro-Porras]]></surname>
<given-names><![CDATA[Nicole]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,aff1  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<volume>59</volume>
<numero>1</numero>
<fpage>22</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022017000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022017000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022017000100022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Conocer la incidencia y comportamiento del carcinoma epidermoide de cérvix, tanto in situ/neoplasia intraepitelial cervical grado tres, como invasor, en las mujeres diagnosticadas en el Servicio de Patología del Hospital &#8220;Dr. Escalante Pradilla&#8221; en el periodo 2007 - 2015.  Métodos: Se realizó un estudio retrospectivo con los datos de los archivos del Servicio de Patología. Se incluyeron todas las mujeres diagnosticadas con cáncer epidermoide de cérvix (in situ/NIC3 e invasor), para 461 mujeres en el periodo de nueve años. Las variables por estudiar fueron: tipo de cáncer, edad y año al diagnóstico, cantón de procedencia y resultados citológicos dos años previos al diagnóstico de cáncer. Para los cálculos de incidencia, se utilizaron tasas ajustadas por 10.000 habitantes en las tasas por cantón y por 100.000 habitantes en las tasas de la región Brunca.  Resultados: Se documentó un aumento en la incidencia de cáncer de cérvix, desde 2012. El grupo de edad más afectado de manera global fue el de 26-30 años, pero en carcinoma invasor fue de 46-50 años. A nivel cantonal se observa una diferencia marcada en cuanto a toma de citología, siendo el cantón de Corredores el de menor cobertura citológica y, a su vez, mayor tasa de carcinoma invasor.  Conclusión: La región Brunca presentó un aumento en la incidencia de cáncer de cérvix en el periodo estudiado, y se documentó que regiones con menor cobertura tuvieron mayores tasas de carcinomas invasores. Es fundamental fortalecer las regiones vulnerables.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Evaluate the incidence and behavior of squamous cervical cancer, both in situ/cervical intraepithelial neoplasia grade 3 and invasive carcinomas in women diagnosed in the &#8220;Dr. Escalante Pradilla&#8221; Hospital Pathology Service between the years 2007 to 2015.  Methods: A retrospective study was carried out with the data obtained from the files of the Pathology Service. We included all women diagnosed in this service with epidermoid cervical cancer (in situ/NIC3 and invasive) for a total of 461 women in the nine-year period. The variables to be studied were cancer type, age and year at diagnosis, residence and cytological results two years prior to tthe cancer diagnosis. For the incidence calculations, adjusted rates per 10,000 inhabitants were used in the rates per place of residence and per 100,000 inhabitants in the Brunca region rates.  Results: It was documented an increase in the incidence of cervical cancer since 2012. The age group most affected globally is 26-30 years, but in invasive carcinoma it&#8217;s the group of 46-50 years. At cantonal level, there is a marked difference in cytology, with the canton of Corredores having the lowest cytological coverage and, at the same time, a higher rate of invasive carcinoma.  Conclusion: The Brunca region is showing an increase in the incidence of cervical cancer and it was documented that regions with lower coverage, had higher rates of invasive carcinomas. The cervical cytology screening program is an effective prevention method if used appropriately. It is essential to strengthen the program in vulnerable regions, since screening coverage is inversely proportional to the incidence of cervical cancer.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neoplasia del cuello uterino]]></kwd>
<kwd lng="es"><![CDATA[carcinoma de células escamosas]]></kwd>
<kwd lng="es"><![CDATA[carcinoma in situ]]></kwd>
<kwd lng="es"><![CDATA[lesiones intraepiteliales escamosas de cuello uterino]]></kwd>
<kwd lng="es"><![CDATA[citología]]></kwd>
<kwd lng="en"><![CDATA[Uterine Cervical Neoplams]]></kwd>
<kwd lng="en"><![CDATA[Carcinoma]]></kwd>
<kwd lng="en"><![CDATA[Squamous Cell]]></kwd>
<kwd lng="en"><![CDATA[Carcinoma in Situ]]></kwd>
<kwd lng="en"><![CDATA[Squamous Intraepithelial Lesions of the Cervix]]></kwd>
<kwd lng="en"><![CDATA[Cytology]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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