Year 2024 / Volume 116 / Number 5
Letter
Is cervical dysplasia a major concern in females with inflammatory bowel disease? A Spanish retrospective study

292-293

DOI: 10.17235/reed.2023.9890/2023

Lorena Jara Fernández, Juan Ángel Ferrer, José Lázaro Pérez Calle, Pilar López Serrano,

Abstract
Cervical cancer (CC) is the fourth most common cancer affecting women worldwide. The risk of women immunosuppressed due to AIDS or organ transplantation is well documented, as most cases are caused by persistent human papillomavirus (HPV) infection and immunosuppression can prevent clearing HPV. Although European guidelines advise that inflammatory bowel disease (IBD) women under immunosuppression should be screened for CC as regularly as high-risk patients, quality evidence is lacking in our country. We performed a retrospective case-control (2020-2021) study to analyse the risk factors associated with the appearance of low-grade (LSIL) or high-grade (HSIL) squamous intraepithelial cervical lesions in patients with IBD. We included all women aged 21-65 years , followed up at the University Hospital Fundación Alcorcón (Spain). Cases were defined as those patients with abnormalities in cervical cytology, while the control group consisted of the rest of the women. Disease characteristics, treatments and epidemiological data (smoking habit, sexual behaviour and reproductive history) were obtained. We documented the evolution of abnormalities over time and compare data between women under immunosuppressive treatment or not.
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References
1. Moscicki AB, Flowers L, Huchko MJ et al. Guidelines for Cervical Cancer Screening in Immunosuppressed Women Without HIV Infection. J Low Genit Tract Dis. 2019;23:87-101. doi: 10.1097/LGT.0000000000000468.
2. Allegretti JR, Barnes EL, Cameron A. Are patients with inflammatory bowel disease on chronic immunosuppressive therapy at increased risk of cervical high-grade dysplasia/cancer? A meta-analysis. Inflamm Bowel Dis. 2015;21:1089-97. doi: 10.1097/MIB.0000000000000338.
3. Kucharzik T, Ellul P, Greuter T et al. ECCO Guidelines on the Prevention, Diagnosis, and Management of Infections in Inflammatory Bowel Disease. J Crohns Colitis. 2021 22;15:879-913. doi: 10.1093/ecco-jcc/jjab052.
4. Magro F, Peyrin-Biroulet L, Sokol H et al. Extra-intestinal malignancies in inflammatory bowel disease: results of the 3rd ECCO Pathogenesis Scientific Workshop (III). J Crohns Colitis. 2014;8:31-44. doi: 10.1016/j.crohns.2013.04.006.
5. Zabana Y, Calvet X. Relevance of patient-reported outcome measures (PROM) and patient-reported experience measures (PREM) to assess disease status and quality of care in patients with inflammatory bowel disease. Rev Esp Enferm Dig. 2023;115:292-293. doi: 10.17235/reed.2023.9563/2022.
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Jara Fernández L, Ferrer J, Pérez Calle J, López Serrano P. Is cervical dysplasia a major concern in females with inflammatory bowel disease? A Spanish retrospective study. 9890/2023


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Publication history

Received: 03/08/2023

Accepted: 03/09/2023

Online First: 21/09/2023

Published: 09/05/2024

Article Online First time: 49 days

Article editing time: 280 days


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