Classical definition of pre-invasive lesions in the cervix consists if a heterogeneous
group of alterations. This group comprehend the evolution from initial lesion to
invasive cancer. Cervical cancer is among the tree most prevalent cancers in
women in countries on development, the northern region of Brazil has high
prevalence of cervix cancer. Papanicolaou examination is the main aid for
diagnose and prevention of cervical cancer. Thus, we sought to describe the
frequency of alteration on cytopathological exams from the cervix in residents of
counties in the Marajá island. It is a descriptive and documental study, in a
quantitative aspect. The samples were collected by the project: “Epidemiological
markers in health on the Marajó archipelago” and analyzed by the Cythopalogical
Laboratory, by coordination of the project “Evaluation of the clinical cytology in the
prevention and precocious detection of cancer” between March of 2013 and
February of 2015. 405 samples were included in the study from women residents
in the counties of: Chaves, Portel, São Sebastião da Boa Vista e Anajás. These
women attended to collect the samples in a predetermined appointment,
scheduled by the health professionals involved in the research. We found a high
incidence of cervix samples’ examination (234/405). The bigger incidence was
observed by the inflammatory alterations, 39.26% (159) followed by 74 smears for
atypia (8%) and 35 for intra-squamous lesions (8.64%). 7 patients were identified
to have cervical cancer through the cythopathological examination. In the
sociodemographic profile, the majority of the women studied until high school, had
stable relationships and fixed partners, do not use condoms nor oral contraceptive
and had a previous Papanicolaou examination. Thus, we could identify the
precarious coverage of the public health system in these counties, evidenced by
the high incidence alteration on examination, and the identification of cancer.
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