Cervical Cancer Screening in the Metropolitan Region I, State of Pará, Amazon: A Retrospective Ecological Study on Public Health in Pará

Objective: To analyze the coverage of cytopathological examination of the cervix in women between 25 and 64 years of age in Metropolitan Region I, State of Pará, from 2017 to 2021. Methodology: Secondary and public data, registered in the System, were extracted. Cancer Information, considering the historical series from 2017 to 2021. Results: A total of 150,424 uterine cervix exams were performed by women aged between 25 and 64 years. There was a variation in the offer of exams in the municipalities, with an increase in the years 2017, 2018 and 2019, while in the years 2020 and 2021, the numbers were reduced, without reaching the state goal agreed in most municipalities. Among the cytological changes in the exam, atypical ones in glandular cells predominated with 52.4%, followed by invasive squamous cell carcinoma with 31.1%. As for the type of intraepithelial lesion, a higher proportion of low-grade lesions was identified, with 82.5%. Conclusion: Weaknesses in Cervical Cancer (CC) screening may be correlated with low supply and demand for the test, as well as the unsatisfactory quality of the collected samples.