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Summary

Introduction: The second most common cause of cancer death among women is the cervix-uterine cancer. In 2000 there were over 22 thousand cases in Brazil and death rate for cervix-uterine cancer was of 6.8%. Several works had corroborated the mass screening effectiveness of this cancer by cervicovaginal cytology, a quick, easy and inexpensive procedure. Objectives: Our project aims to provide orientation to patients about the risk factors of cervix-uterine cancer and the importance of a periodical cervicovaginal cytology examination, collecting cervicovaginal secretions to detect possible neoplasia and provide students with a solidfoundation. Methods and materials: Patients examinations were carried out on Community Health Care Projects in the city of Presidente Prudente (State of Sao Paulo) and vicinity. After individual data collection from anamnesis and sexual and gynecologic history interview, cervicovaginal cytology collection was carried out as preconized. Results: Most of the 259 examined women (24.6% - n=64) aged 51 to 60 years. Leukorrhea was the main related disorder (17% - n= 44), whereas 56% of these women have come just for Papanicolaou testing, 10,4% (n= 26) have never had a Pap smear, 4.3% (n=11) have had a Pap testing over the last 5 years or more, and 28.6% (n=74) have the test done on an annual basis. From these only 0.8% (n = 02) presented neoplastic lesions. Conclusion: Periodic cervicovaginal cytology evaluation among women who are sexually active should bring about a decreasing morbidity and mortality associated with cervix-uterine cancer in Brazil, and as to that more education programs should be required.



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