[Gynecology-obstetrics at the Yalgado-Ouédraogo (Ouagadougou) National Hospital Center. Cancer of the cervix uteri: epidemio-clinical and anatomopathologic aspects].
We report the findings of a 3-year retrospective study aimed at describing the epidemiological, clinical, anatomical and pathological profile of cervical cancers in an African country. We studied 46 cases of invasive cervical cancer. This type of cancer accounts for 31.7% of female genital cancers. The mean waiting time for a consultation was 7 +/- 2.4 months. The average age of the patients was 48 +/- 3.7 years. They were mostly women who had had several pregnancies without paid work. The main reasons for seeking medical help were metrorrhagia (95.6%), pelvic pain (58.7%) and purulent discharge (45.6%). In 89.1% of the cases, the cancer was inoperable. Pathology results were available in 37 cases. We found 36 cases (97.3%) of epidermoid carcinoma and a single case (2.7%) of adenocarcinoma. There were associated condylomatous lesions in 21.6% of cases. These results demonstrate the importance of making cervical smear tests a routine part of medical examination and of making the public aware of the importance of screening for cervical cancer.
Lankoandé
J
J
Département de gynécologie-obstétrique, Faculté des sciences de la santé, Université de Ouagadougou, Burkina Faso.
Sakandé
B
B
Ouédraogo
A
A
Ouédraogo
C M
CM
Ouattara
T
T
Bonané
B
B
Koné
B
B
D000230:Adenocarcinoma / Q000453:epidemiology; D000328:Adult; D000368:Aged; D002050:Burkina Faso / Q000453:epidemiology; D002277:Carcinoma / Q000453:epidemiology* / Q000473:pathology / Q000517:prevention & control; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology; D003218:Condylomata Acuminata / Q000453:epidemiology; D005260:Female; D006266:Health Education; D006783:Hospitals, State; D006801:Humans; D008403:Mass Screening; D008796:Metrorrhagia / Q000453:epidemiology; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009775:Obstetrics and Gynecology Department, Hospital; D010298:Parity; D017699:Pelvic Pain / Q000453:epidemiology; D011247:Pregnancy; D012017:Referral and Consultation; D012189:Retrospective Studies; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000517:prevention & control; D019522:Vaginal Discharge / Q000453:epidemiology; D014626:Vaginal Smears; D014850:Waiting Lists