Md. Ouakka Fatiha, A. Elmoctar, K. Saoud, N. Mamouni, S. Errarhay, C. Bouchikhi, A. Banani, G. E. Mounssefe
{"title":"Primary Ovarian Burkitt’s lymphoma Mimicking a Gynecologic Tumor","authors":"Md. Ouakka Fatiha, A. Elmoctar, K. Saoud, N. Mamouni, S. Errarhay, C. Bouchikhi, A. Banani, G. E. Mounssefe","doi":"10.36348/sijog.2023.v06i01.005","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i01.005","url":null,"abstract":"Ovarian non-Hodgkin's lymphoma is an extremely rare tumor. It accounts for 1.5% of ovarian cancers and 0.5% of non-Hodgkin's lymphoma (NHL). It is most often a secondary location of a disseminated lymphomatous disease. We report on a patient managed in the department for this condition.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130983642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Mariko, Brahima Bamba, A. Saye, P. Coulibaly, N. Bagayogo, B. Traoré, Mamadou Haidara, A. Samaké, A. Togo, M. Coulibaly, Alassane Traoré, Alpha Gakou, S. Sidibé
{"title":"Hematocolpos Secondary to an Unrecognized Diagnosis of Hymenial Imperforation: A Case Report and Review of the Literature","authors":"S. Mariko, Brahima Bamba, A. Saye, P. Coulibaly, N. Bagayogo, B. Traoré, Mamadou Haidara, A. Samaké, A. Togo, M. Coulibaly, Alassane Traoré, Alpha Gakou, S. Sidibé","doi":"10.36348/sijog.2023.v06i01.004","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i01.004","url":null,"abstract":"A relatively rare congenital malformation, hematocolpos is the progressive accumulation of menstrual blood in the vaginal cavity at puberty. It is often the consequence of a hymen imperforation. It is clinically manifested by cyclic pelvic pain and primary amenorrhea and, more rarely, by a pelvic mass syndrome. The diagnosis is primarily clinical. Ultrasound and magnetic resonance imaging (MRI) are additional tests to confirm hematolcolpos and exclude other associated genitourinary malformations. Treatment consists of a hymenotomy to drain the hematocolpos. The age of discovery of hematocolpos varies from 13 to 14 years. We report a case of hematocolpos secondary to hymenal imperforation diagnosed in a 17-year-old girl with periodic pelvic pain, primary amenorrhea and a pelvic mass. A first ultrasound trap had evoked a large ovarian cyst but the repeat pelvic ultrasound in our hospital confirmed the diagnosis of hematocolpos.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128585755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Retrospective Analysis of Cervical Cerclage Outcomes in a Low-Income Country","authors":"O. Lawal, G. Obajimi, R. O. Balogun","doi":"10.36348/sijog.2023.v06i01.003","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i01.003","url":null,"abstract":"Background: Cervical incompetence (CI) is a common cause of mid-trimester pregnancy loss. Clinical evidence has demonstrated the role of cervical cerclage in reducing preterm births alongside engendering successful maternal and foetal outcomes in carefully selected women with cervical incompetence. This study aimed at determining foetal and maternal outcomes in women with cervical incompetence after elective cervical cerclage. Methods: A retrospective analysis of 88 patients who had elective cervical cerclage at the University College Hospital, Ibadan (UCH), Ibadan, Nigeria between January 2015 to December 2017. Data from the case records of these patients were analysed using the Statistical Package for Social Sciences version 22. Descriptive analysis was generated and summarized with the aid of pie chart, bar chart and frequency tables. Chi-square statistic was used in testing for associations between categorical variables. Results: The mean age was 32.5 ± 4.2 years. Most of the women (78%) had cervical cerclage performed between 14 -16 weeks’ gestation. The most observed complication was pre-term contractions (76.2%). Eighteen women (20.5%) had a miscarriage and 50 women (56.8%) had term deliveries. The mean gestational age (GA) at delivery was 34.1 ± 5.8 weeks. Maternal complications, use of tocolytics and duration of hospital stay had a significant influence on the gestational age at delivery (p<0.005). Conclusion: Cervical cerclage is an effective surgical procedure for preventing and delaying preterm births in women with cervical incompetence evidenced by a successful outcome in 56.8% of cases depicted in this study. Its use in a low-income country with high rates of preventable pregnancy wastages cannot be over-emphasized.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114764325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Fatima Jannat, Dr. Mohammad Abdul Quayyum, Dr. Munawar Sultana, Dr. Mohammad Shaha Alam, Dr. Mohammad Jahangir Kabir Bhuiyan, Dr. Osmanur Rashid
{"title":"Laparoscopic Approach for the Management of Ectopic Pregnancy in a District Level Hospital, Cox's Bazar","authors":"Dr. Fatima Jannat, Dr. Mohammad Abdul Quayyum, Dr. Munawar Sultana, Dr. Mohammad Shaha Alam, Dr. Mohammad Jahangir Kabir Bhuiyan, Dr. Osmanur Rashid","doi":"10.36348/sijog.2023.v06i01.002","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i01.002","url":null,"abstract":"Introduction: An ectopic pregnancy occurs when a fertilized egg implants and grows outside of the uterine cavity. Ectopic pregnancy usually occurs as a result of delay or prevention in the passage of the blastocyst to the uterine cavity resulting in its premature implantation in the extrauterine tissues. It usually occurs in 2% of all pregnancies and is a major cause of maternal morbidity and mortality when misdiagnosed or left untreated and subsequent successful pregnancy is less than 50% of patients. About 95% of ectopic pregnancies originate in the tubes. Infrequently, it affects the ovary, the bicornuate uterus, and the cervix. The diagnosis of ectopic pregnancy has been performed using laparoscopy. Additionally, it is widely used for the surgical treatment of ectopic pregnancy. The benefit of laparoscopy for ectopic pregnancy over laparotomy is well-known. Laparoscopic surgery has been widely adopted and new technical innovations, procedures, and evidence-based knowledge are persistently emerging. The laparoscopic advantage over open surgery has also been confirmed in different fields. It is associated with shorter operative time, less intraoperative blood loss, reduce postoperative pain, less analgesic requirement, a shorter hospital stay, faster recovery, cost- effectiveness, and lower rate of postoperative complications. This study aimed to compare the outcome of laparoscopic management with laparotomy in the management of ectopic pregnancy. Methods: This was a prospective cross-sectional study that was carried out in a district level hospital at Cox's Bazar. This study was conducted from May 2020 to May 2022. A total of 59 subjects were selected for the study as per inclusion criteria. Result: Among 59 respondents, most of the subjects were of the 15-25 years age group which constituted 81.36%, followed by 13.56% of the 26-35 years age group, and the rest 5.08% were of >35 years age group. Laparoscopy was done on 40 (67.20%) patients and laparotomy was done on 19 (32.80%) patients. Approximately, 25% of laparoscopy patients and 52% of laparotomy patients had prior surgery. Prior ectopic surgery was performed on around 8.47% of laparoscopy patients and 13.55% of laparotomy patients. Regarding the comparison of laparoscopy and laparotomy procedure, total blood loss was less (30-50ml) in laparoscopy and more (≥60ml) in the laparotomy procedure. Hospital stay was also less (1-2 days) in laparoscopy and more (≥3 days) in laparotomy, duration of operation was shorter (20-30min) in laparotomy and comparatively longer (30- 60 min) in laparoscopy. Previous surgery was done on 25% and 52.17% patients who underwent laparoscopy and laparotomy respectively. Previous ectopic pregnancy was diagnosed on 8.33% and 47.83% of laparoscopy and laparotomy patients respectively. Moreover, previous PID was found in 5.55% patients who underwent laparoscopy and none who underwent laparotomy. 2.77% of patients who underwent laparoscopy had a history endometriosis.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122512104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perception and Representation of the Premarital Medical Examination by Believers in the MBATA Parish Mayangi in Kinshasa-Ngaliema, Democratic Republic of Congo","authors":"Esako Onokoko, Kadiata Bukasa Augustin, Tshitadi Biduaya Augustin, Luzolo Tsatsa Charles, Tshiama Bijika Brigitte, Tshiakushiya Baluntu Prosper, Kasau Kasau Dieu merci, M. Agnès, Tshitadi Makangu Augustin","doi":"10.36348/sijog.2023.v06i01.001","DOIUrl":"https://doi.org/10.36348/sijog.2023.v06i01.001","url":null,"abstract":"Introduction: The aim of this study is to understand the perception and representation of believers in the MBATA MAYANGI parish on the premarital medical examination in order to propose strategies to meet the expectations of believers in this church. Method: To carry out this study, we used a phenomenological survey method, supported by the face-to-face semi-structured interview technique and the instrument is the interview guide on a reasoned non-probability sampling of 20 participants. Results: concerning representation, the participants believe that the premarital medical examination does not represent much because it is God who protects, is an obstacle to the marriage of young people today, the premarital examinations are presented as a condemnation, finally, is comparable to the competition for admission to married life. For their expectation on the part of families, they have expectations that they have expressed in the following two ways: Parents must educate their children from an early age on medical examinations and also an awareness of youth on the well-being based on the premarital examination. Conclusion: the Christians of this parish do not have a good perception and do not imagine prenuptial examinations well, hence the need to popularize the importance of these examinations in different Churches.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"390 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131465438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Khandaker Shamima Khalique, Prof. Nasrin Akter, Dr. Israt Jahan Karim
{"title":"Effect of High-Dose Cabergoline Therapy for Hyperprolactinemic Infertility among Bangladeshi Women","authors":"Dr. Khandaker Shamima Khalique, Prof. Nasrin Akter, Dr. Israt Jahan Karim","doi":"10.36348/sijog.2022.v05i12.007","DOIUrl":"https://doi.org/10.36348/sijog.2022.v05i12.007","url":null,"abstract":"Background: Cabergoline is effective in the treatment of hyperprolactinemic hypogonadism. It is a highly effective and long-acting inhibitor of prolactin secretion. The rate of cabergoline-induced pregnancy in women with prolactinoma, is unknown. Objective: The aim of present study is to evaluate the efficacy and safety of high-dose cabergoline therapy for hyperprolactinemic infertility among Bangladeshi women. Method: This descriptive cross- sectional study was conducted among 50 patients from January, 2020 to January, 2022 in at The Medinova Diagnostic Centre, Sylhet, Bangladesh. Results: In our study, maximum (14) patients belong to the age group of 19 to 23 years, and minimum number of patients (4) was between 39 to 43 years. Maximum (52%) patients had the primary infertility and 48% had secondary infertility. The mean values of thyroid stimulating hormone (TSH), Follicle-stimulating hormone (FSH), luteinizing hormone (LH) and prolactin PRL is 3.93±6.58, 10.96±13.58, 9.83±6.8, and 12.46±14.39 respectively and these were significant. 12% patients had PCO and 88% patients were normal in our study. 78% semens were normal, 4% semen showed Azzospermia, 14% semens showed Oligo Astheno Spine and 4% semens showed Astheno spine. Conclusion: In infertile women with prolactinoma, cabergoline can achieve a high pregnancy rate with uneventful outcomes. The findings demonstrated that cabergoline can be used safely to improve menstrual cycles in hyperprolactinemia.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115191755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Balasaheb Khadbade, Dr. Prashant Kale, Dr. Swapnil Mane
{"title":"Indication & Outcome of Second Stage Caesarean Section; A Longitudinal Study","authors":"Dr. Balasaheb Khadbade, Dr. Prashant Kale, Dr. Swapnil Mane","doi":"10.36348/sijog.2022.v05i12.006","DOIUrl":"https://doi.org/10.36348/sijog.2022.v05i12.006","url":null,"abstract":"Background: Caesarean section is one of the common surgical interventions to save lives of the mothers and/or the newborns. However there is an alarming rise in caesarean section leading to increased adverse outcomes for both the mother and fetus when compared with vaginal delivery. Within this increasing caesarean section rate, there is a concerning increase in the rate of second stage caesarean section. Due to a limited literature regarding this topic in the Indian scenario, the present study was done to assess the predisposing factors, indications of second stage caesarean section and its fetomaternal outcome. Material and Methods: In Present descriptive longitudinal study 211 patient’s undergone caesarean sections at full cervical dilatation were included as per inclusion and exclusion criteria. A pilot study was done for validation, practicality and applicability of questionnaire. Results: In present study most cases were in the age group of 26 to 30 years (38.38%). The most common indication for emergency second stage caesarean section was non-progression of labour followed by obstructed labour. Atopic PPH, hematuria was the commonest intraoperative complications while pyrexia, prolong catheterization was the predominant post-operative complications NICU admission needed for 16.11% babies due to birth asphyxia and respiratory distress. Conclusions: Caesarean section in the 2nd stage of labor is associated with maternal and neonatal morbidity and mortality. These factors needs to be anticipated to reduce mortality and morbidity associated with it. A proper judgment is required by a skilled obstetrician to take a decision for caesarean section at full cervical dilatation.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"386 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130816229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. F, Parvin T, N. T, Uddin Ms, Chowdhury K, A. A.
{"title":"Reproductive Outcome in Women with different Types of Congenital Uterine Anomalies","authors":"B. F, Parvin T, N. T, Uddin Ms, Chowdhury K, A. A.","doi":"10.36348/sijog.2022.v05i12.005","DOIUrl":"https://doi.org/10.36348/sijog.2022.v05i12.005","url":null,"abstract":"Introduction: Mullerian ducts are the primordial analogue of female genital tract. They differentiate to form the fallopian tubes, uterine body, cervix and upper part of the vagina. A wide variety of malformation occur when this system is disrupted. The range from uterine agenesis, duplication of uterus to minor cavity abnormalities. All these congenital anomalies have been implicated as a potential cause for impaired reproductive outcome. Our aim was to evaluate the association between different types of congenital anomaly and various reproductive outcome. Material & Methods: This cross sectional descriptive study was conducted at the Department of gynae and obstetrics in Dhaka Medical College and Hospital (DMCH), Ad-din Women’s Medical College and Hospital and Gonoshasthaya Samaj Vittik Medical College and Hospital during the period of March 2012 to September 2022.The study subjects were women with uterine anomalies who were diagnosed during evaluation of causes for bad obstetric history, during infertility work up or incidental findings during antenatal investigations or during Carsarian section . Reproductive outcomes were observed in the form of infertility, miscarriage, preterm delivery, ectopic pregnancy, intra uterine growth retardation (IUGR) and post-partum haemorrhage (PPH). These were recorded in a standard research questionnaire. Data were analyzed regarding types of uterine anomalies and their reproductive performance. Results: During the study period total 84 patients were recruited with uterine anomalies. Regarding distributions of uterine anomalies in study subjects the most common uterine anomaly was bicornuate uterus (n-32,38%), followed by arcuate uterus (n-18,21%), septate uterus (n-16,19%), unicornuate uterus (n-12,14%), and uterine didelphys (n-6,7. 1%).Women with bicornuate uterus was associated with miscarriage (37.25%), term delivery (31.25%) and preterm delivery (25%). Therefore, bicornuate uterus was found more evident with miscarriage. Only two cases of ectopic pregnancy were observed in the study which was found with bicornuate uterus. And in arcuate uterus percentage of preterm delivery was 44.4%, term delivery 33.3%, miscarriage only 22.2%. Therefore, arcuate uterus was more associated with preterm delivery. In septate uterus miscarriage was maximum (37.5%) followed byl term and pre term delivery, 12.5% each We found 12 cases of unicornuateuterus, where pregnancy continued to term in 6(50%) cases,2 aborted and 4(33.3)were delivered before term. Infertility was more associated with canalization defect, 6 cases with septate and 2 with didelphys uterus. Among live births (preterm and term deliveries,) malpresentation (breech, transverse) was more common in bicornuate uterus (44%).PPh was found in 2 cases of didelphys and two of bicornuate uterus. One case of septate and one from bicornuate uterus were associated with IUGR. Conclusion: The study makes clear that congenital uterine anomaly is associated with poor reprod","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131236581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Rumana Sultana, Dr. MD. Monir Hossian, P. Fatima
{"title":"Association of Serum Anti-Mullerian Hormone Level with Age in Subfertile Patients","authors":"Dr. Rumana Sultana, Dr. MD. Monir Hossian, P. Fatima","doi":"10.36348/sijog.2022.v05i12.004","DOIUrl":"https://doi.org/10.36348/sijog.2022.v05i12.004","url":null,"abstract":"Introduction: Infertility affects approximately 10%-15% of reproductive-aged couples. Ovarian reserve describes the number of good-quality oocytes remaining within the ovaries. As a women ages, her ovarian reserve declines, principally due to apoptotic loss of primordial follicles. Serum AMH level is being considered a possible testing method for determining ovarian reserve. The aim of the study was to observe any association between serum Anti- Mullerian Hormone (AMH) level with patient age among subfertile patients. Methods: This cross-sectional observational study was conducted at the Department of Obstetrics and Gynaecology, Infertility Unit, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. The study duration was 14 months, from October 2011 to December 2012. The present study was conducted with 86 women of the reproductive age group with subfertility. Result: There was a gradual linear decline of AMH observed with an increment of age. The mean value of FSH and LH gradually increased in the higher age groups of 40-45 years than in the lower age group of 21-30 years. The mean BMI levels were almost similar in all age groups, and no remarkable difference could be discerned. The difference in AMH levels among the different age groups was statistically significant. a statistically significant negative correlation between age and serum AMH was observed, while a significant positive correlation was observed between FSH and age. Conclusion: As the age of a women advances, the AMH level decreases. The serum AMH is negatively correlated with age and serum FSH is positively correlated with age.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"234 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132277797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Shamsun Nahar, Dr. Mohammed Saiful Islam, Dr. Jannatul Ferdous Jonaki, Dr. Rowshan Ara Sultana Jesmine, Dr. Sultana Nazneen, Dr. Shirin Shobnom, D. Hussain
{"title":"Correlation among Clinical Presentation, Staging and Histopathological Findings in Carcinoma Cervix","authors":"Dr. Shamsun Nahar, Dr. Mohammed Saiful Islam, Dr. Jannatul Ferdous Jonaki, Dr. Rowshan Ara Sultana Jesmine, Dr. Sultana Nazneen, Dr. Shirin Shobnom, D. Hussain","doi":"10.36348/sijog.2022.v05i12.003","DOIUrl":"https://doi.org/10.36348/sijog.2022.v05i12.003","url":null,"abstract":"Introduction: Cervical cancer is a malignant neoplasm arising mainly in the transformation zone of the cervix. Cervical cancer is the second most common cancer among women worldwide after breast cancer. Squamous cell carcinoma and adenocarcinoma constitute the greatest burden, globally as well as in Bangladesh. Most patients in developing countries including Bangladesh present at advanced stage. Histopathological types of cervical cancer influence the treatment outcome when treated by radiation therapy. To reduce mortality from cervical cancer and improve survival, it is necessary to correlation of clinical presentation, staging and histopathological findings. Objectives: To find the correlation among clinical presentation, clinical staging and histopathological findings in patients with carcinoma cervix. Materials and Methods: This cross-sectional study was conducted in the Gynaecologic division of the Department of Obstetrics & Gynaecology, Bangabandhu Sheikh Mujib Medical University Hospital, Dhaka over a period 6 months between October 2013 to March 2014. A total of 50 patients with histologically confirmed carcinoma cervix were consecutively included in the study. Clinical presentation, staging and histopathological grading were done to see the correlations among them. All information was recorded in data collection sheet. Data were analyzed by SPSS. Data were compared and correlated among groups and presented by tables and figures. Results: Over two-thirds (70%) of the patients were of age 50 or > 50 years with mean age being 51.8 ± 7.7 years indicating that carcinoma cervix is disease of late middle aged or elderly women. In the present study patients were predominantly at menopausal stage (76%). Vaginal discharge was the predominant complaints (66%) followed by irregular bleeding (54%), postcoital bleeding (34%) and foul smelling discharge per vagina. Seventy percent of the cases were clinically categorised as stage IB1 followed by IB2 (16%), IA (6%), IIB2 (4%) and IIIA (4%). Histopathologically majority of the cases was ranked as Grade-II (90%) and typed as squamous-cell carcinoma (94%). Based of clinical symptoms, 42% of the carcinoma cervix were predicted as having advanced disease, but based on clinical staging and histopathological 8% and 6% of the cases respectively were considered having advanced. Conclusion: Present study concluded that clinical staging well-correlates with histopathological grading, but prediction of the status of the disease with mere clinical symptoms may be misleading.","PeriodicalId":394508,"journal":{"name":"Scholars International Journal of Obstetrics and Gynecology","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114337593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}