Prevalencia de cáncer de útero en multíparas que acuden a la consulta externa del Hospital General Universitario de Guayaquil.

Abstract

Uterine cancer, also known as cervical cancer, represents a significant challenge to public health worldwide. Objective: Determine the prevalence of uterine cancer in multiples who attend the outpatient clinic of the General University Hospital of Guayaquil. Methodology: The type of study had a descriptive approach, quantitative method, retrospective cross-sectional. Population and sample: 102 multiparous women. Technique: Indirect observation. Instrument: Observation guide. Results: According to the gynecological-obstetric history, 38.2% began their sexual life after the age of 20. 42.2% have a history of uterine cancer and 54.9% have contracted human papillomavirus (HPV) infections. Furthermore, 52.9% have had only one partner and 52.0% do not use contraceptive methods. Regarding motherhood, 42.2% have had between 2 and 3 births. 37.3% have a history of cervical dysplasia and 38.2% have not received the HPV vaccine. Regarding the diagnosis of cervical cancer, 23.5% are in stage II and 21.6% in stage III. The most common clinical manifestations include irregular vaginal bleeding (63.7%), pelvic pain (73.5%), and abnormal vaginal discharge (96.1%). Among the complications, anemia was reported in 55.9%, metastasis in 28.4% and urethral obstruction in 19.6%. Conclusion: During the period 2022 to 2023, there was an admission of 1,450 multiparous women, of which 102 were diagnosed with cervical cancer, showing a prevalence of 7.03%.