Cancer of the Cervix in Unscreened West African Women

S. Gaya, I. Yakasai, Aminu Muhammad, H. Galadanci, I. Garba
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引用次数: 8

Abstract

Background: Cancer of the cervix remains an important health problem amongst women worldwide. Widespread comprehensive cervical cancer control programs have resulted in a marked reduction in the incidence and mortality in most developed countries. Developing countries bear over 80% of the global burden, with only 5% of the global resources for the control of cancer. Majority of the cases in these countries present late and are incurable at the time of diagnosis. Aim: To review the presentation and histopathological types of cervical cancer cases seen in Aminu Kano Teaching Hospital Kano, over a sixteen-year period (1995– 2010). Materials and Methods: Case records of histopathologically diagnosed cases of cancer of the cervix were retrieved. Demographic data, stage of the tumor at presentation, and histopathologic type were extracted. The results were analyzed using descriptive statistics. Results: Six hundred and sixty gynecological cancers were seen during the study period, with cancer of the cervix accounting for 58.5% (386/660) cases. Among these cases with cancer of the cervix 71.1% (275/386) were grand multiparous and majority 89.7 % 346/386 presented with advanced disease. Squamous cell carcinoma (SCC) accounted for 86.3% (333/386) of the cancers, adenocarcinoma contributed 12.4%,(48/386) and others contributed 1.3% (5/386). Conclusion: Cancer of the cervix is the commonest gynecological cancer at Aminu Kano Teaching Hospital, Kano, Nigeria. SCC is the commonest histological type.
未筛查的西非妇女的子宫颈癌
背景:子宫颈癌仍然是全世界妇女的一个重要健康问题。在大多数发达国家,广泛而全面的宫颈癌控制规划已使发病率和死亡率显著降低。发展中国家承担着全球80%以上的负担,而用于控制癌症的全球资源仅占5%。这些国家的大多数病例出现较晚,在诊断时无法治愈。目的:回顾16年来(1995 - 2010年)在卡诺明·卡诺教学医院发现的宫颈癌病例的表现和组织病理学类型。材料与方法:检索经组织病理学诊断的宫颈癌病例记录。提取患者的人口学资料、肿瘤出现时的分期和组织病理类型。结果用描述性统计进行分析。结果:研究期间共发生妇科肿瘤660例,其中宫颈癌占58.5%(386/660)。其中71.1%(275/386)为大产子,89.7%(346/386)为晚期。鳞状细胞癌(SCC)占86.3%(333/386),腺癌占12.4%(48/386),其他占1.3%(5/386)。结论:宫颈癌是尼日利亚卡诺Aminu Kano教学医院最常见的妇科肿瘤。SCC是最常见的组织学类型。
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