Dados do Resumo

Título

REGIONAL DISTRIBUTION OF THE INCIDENCE OF MALIGNANT NEOPLASMS OF THE VULVA AND VAGINA TREATED WITH CHEMOTHERAPY AND RADIOTHERAPY OVER FOUR YEARS

Introdução

Malignant neoplasms of the vulva and vagina are rare types of gynecological cancer that typically affect older women. These cancers often begin silently, with symptoms that can easily be mistaken for less severe conditions, leading to delays in diagnosis. Despite representing a small percentage of gynecological cancer cases, they pose significant challenges in terms of early diagnosis, treatment, and prognosis.

Objetivo

To measure the incidence of malignant vulvar and vaginal neoplasms treated with chemotherapy and/or radiotherapy in each brazilian state over a period of nearly five years.

Métodos

This is a quantitative, descriptive, and retrospective epidemiological study of cases of malignant neoplasms of the vulva and vagina, conducted through data extraction from the Brazilian Unified Health System's Informatics Department (DATASUS), covering the period from 2020 to 2023. Variables included sex, age group, therapeutic modality, and treatment duration, with stratification by Brazilian region. The data were tabulated, and graphs and tables were created.

Resultados

A total of 502 cases of malignant vulvar and vaginal neoplasms treated with chemotherapy and/or radiotherapy were recorded in Brazil between 2020 and 2023. The Southeast Region had the highest number of cases, with 189 (37.64%), particularly in São Paulo with 72 (14.34%) and Minas Gerais with 55 (10.95%). The Northeast followed with 146 cases (29.08%), notably in Bahia with 35 (6.97%) and Pernambuco with 29 (5.77%). The South Region recorded 78 cases (15.53%), with Paraná and Rio Grande do Sul both reporting 29 cases (5.77%). The North Region had 48 cases (9.56%), with Pará accounting for 25 cases (4.98%). The Central-West Region had the lowest incidence, with 41 cases (8.16%), and Goiás had the highest incidence within this region, with 17 cases (3.38%).

Conclusões

The Southeast Region leads in the incidence of cases, with São Paulo and Minas Gerais accounting for over 50% of the region's cases. These results highlight geographic differences and disparities in access to healthcare services and the quality of diagnosis and treatment across different regions of Brazil. Finally, these findings may indicate where resources should be allocated to develop public health strategies for the prevention and treatment of these neoplasms.

Palavras Chave

Malignant Neoplasm; Epidemiology; Vagina