{"id":9643,"date":"2019-07-31T17:23:35","date_gmt":"2019-07-31T22:23:35","guid":{"rendered":"http:\/\/liceaga.facmed.unam.mx\/revistas\/masalud\/?p=9643"},"modified":"2025-09-29T12:44:21","modified_gmt":"2025-09-29T18:44:21","slug":"papanicolaou","status":"publish","type":"post","link":"https:\/\/massalud.facmed.unam.mx\/index.php\/papanicolaou\/","title":{"rendered":"Papanicolaou"},"content":{"rendered":"\n[et_pb_section fb_built=\u00bb1&#8243; _builder_version=\u00bb3.24&#8243;][et_pb_row _builder_version=\u00bb3.24&#8243;][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.24&#8243;][et_pb_image src=\u00bbhttp:\/\/liceaga.facmed.unam.mx\/revistas\/masalud\/wp-content\/uploads\/2019\/07\/InfoPapanicolaou_Mesa-de-trabajo-1.jpg\u00bb _builder_version=\u00bb3.24&#8243; custom_margin=\u00bb-110px|||||\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb3.24&#8243;]<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>El c\u00e1ncer cervicouterino es una alteraci\u00f3n celular que se origina en el epitelio del cuello del \u00fatero y se manifiesta, inicialmente, a trav\u00e9s de lesiones intraepiteliales. Es el cuarto c\u00e1ncer m\u00e1s frecuente en la mujer<\/p>\n<p>Es una prueba que detecta c\u00e9lulas anormales en el cuello uterino y signos tempranos de c\u00e1ncer del mismo, se toma una muestra de las c\u00e9lulas para analizarlas al microscopio.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Historia:<\/p>\n<p>En 1917 el Doctor George Nicolas Papanicolaou estableci\u00f3 una asociaci\u00f3n entre los patrones citol\u00f3gicos y los cambios en el ciclo ov\u00e1rico y menstrual.<\/p>\n<p>En 1920 comenz\u00f3 los estudios citol\u00f3gicos en humanos y su esposa fue su primer sujeto de experimentaci\u00f3n a largo plazo.<\/p>\n<p>En 1923, sugiri\u00f3 el empleo de su m\u00e9todo de la citolog\u00eda exfoliativa para el diagn\u00f3stico de c\u00e1ncer uterino, pero fue cuestionado con respecto a registrar una distinci\u00f3n entre el carcinoma cervical y el endometrial, pero la t\u00e9cnica no diferenciaba ambos tumores.<\/p>\n<p>En 1925 comenz\u00f3 un estudio sistem\u00e1tico de frotis cervicales y vaginales de voluntarias y trabajadoras del Hospital de la Mujer de Nueva York. Reuni\u00f3 a otras mujeres con c\u00e1ncer de cuello uterino, confirm\u00f3 sus observaciones y present\u00f3 esta nueva forma de diagn\u00f3stico.<\/p>\n<p>Marc\u00f3 la diferencia contra la antigua manera de realizar el diagn\u00f3stico a trav\u00e9s del tacto y de la observaci\u00f3n macrosc\u00f3pica al utilizar una tinci\u00f3n que ide\u00f3 para realizar observaci\u00f3n al microscopio.<\/p>\n<p>Pasaron 13 a\u00f1os para que sus descubrimientos fueran aceptados.<\/p>\n<p>En 1939 en colaboraci\u00f3n con Herbert F. Trayut, planific\u00f3 un ensayo cl\u00ednico para someter a las mujeres a una toma de muestra de citolog\u00eda exfoliativa cervicovaginal con ayuda de una pipeta por la cual obten\u00edan c\u00e9lulas del fondo vaginal, del exo y endoc\u00e9rvix sin producir molestias ni dolor a las pacientes.<\/p>\n<p>Este ensayo permiti\u00f3 el diagn\u00f3stico de n\u00famero considerable de casos de c\u00e1ncer de cuello uterino asintom\u00e1ticos, imperceptibles al ojo humano y solamente demostrable a trav\u00e9s de biopsia o mediante el uso de la citolog\u00eda exfoliativa, esto permiti\u00f3 la disminuci\u00f3n en el n\u00famero de casos de c\u00e1ncer.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Factores de riesgo:<\/p>\n<p>Mujeres entre 25 a 64 a\u00f1os de edad, inicio de relaciones sexuales antes de los 18 a\u00f1os, m\u00faltiples parejas sexuales, infecci\u00f3n cervical por virus del papiloma humano, antecedentes de enfermedades de transmisi\u00f3n sexual, tabaquismo, deficiencia de folatos y vitaminas A, C y E, nunca haberse practicado el estudio citol\u00f3gico.<\/p>\n<p>Se recomienda realizar el estudio anualmente hasta contar con tres resultados negativos, entonces se realizar\u00e1 posteriormente cada dos a tres a\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Con informaci\u00f3n de Cristian Joshua Hern\u00e1ndez Gonz\u00e1lez, Medico Pasante de Servicio Social de la Facultad de Medicina, UNAM.<\/p>\n<p>Fuentes:<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.sld.cu\/galerias\/pdf\/sitios\/histologia\/georgenicholaspapanicolaou.pdf\">http:\/\/www.sld.cu\/galerias\/pdf\/sitios\/histologia\/georgenicholaspapanicolaou.pdf<\/a><\/p>\n<p><a href=\"https:\/\/www.paho.org\/hq\/index.php?option=com_content&amp;view=article&amp;id=5420:2018-cervical-cancer&amp;Itemid=3637&amp;lang=es\">https:\/\/www.paho.org\/hq\/index.php?option=com_content&amp;view=article&amp;id=5420:2018-cervical-cancer&amp;Itemid=3637&amp;lang=es<\/a><\/p>\n<p><a href=\"http:\/\/www.imss.gob.mx\/sites\/all\/statics\/guiasclinicas\/146GER.pdf\">http:\/\/www.imss.gob.mx\/sites\/all\/statics\/guiasclinicas\/146GER.pdf<\/a><\/p>\n<p><a href=\"http:\/\/www.salud.gob.mx\/unidades\/cdi\/nom\/m014ssa24.html\">http:\/\/www.salud.gob.mx\/unidades\/cdi\/nom\/m014ssa24.html<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<p>Es una prueba que detecta c\u00e9lulas anormales en el cuello uterino y signos tempranos de c\u00e1ncer del mismo&#8230;<\/p>\n","protected":false},"author":1,"featured_media":9644,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[810],"tags":[1607,1608,1606],"class_list":["post-9643","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sexualidad","tag-cancer-cervicouterino","tag-cuello-uterino","tag-papanicolaou"],"acf":false,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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