Retrospective (One Year) Study of Cases of Ca Cervix
Introduction: Cervical cancer is the most common cause of cancer in India. It is considered a preventable disease by WHO because it can be diagnosed in its precancerous stage. But in India women come too late when the cancer is incurable and no treatment is available. However mass screening is n...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2015-07-01
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| Series: | National Journal of Laboratory Medicine |
| Subjects: | |
| Online Access: | http://www.njlm.net/articles/PDF/2043/5-%2010085_F(AK)_PF1(VSUAK)_PFA(AK)_PF2(VSUAK).pdf |
| Summary: | Introduction: Cervical cancer is the most common cause of
cancer in India. It is considered a preventable disease by WHO
because it can be diagnosed in its precancerous stage. But in
India women come too late when the cancer is incurable and no
treatment is available. However mass screening is not feasible
in resource poor settings as it is expensive. But opportunistic
screening and downstaging can go a long way in controlling
the disease.
Objective: To evaluate causative factors and stage of cancer
so as to assess strategies to control the disease.
Materials and Methods: One year retrospective analysis of
cases of carcinoma cervix was done to evaluate incidence,
parity, rural/urban, sexual and reproductive factors, socioeconomic factors, contraceptive usage, and disease stage.
Results: Total number of gynae admissions was 175 out
of which 39(22.28%) cases were of Ca cervix. Most cases
(25.64 %) were in 60-64 years age group, followed by 35-39
years (20.51%). Majority (51.28%) were para four and above.
Maximum cases (84.61%) belonged to rural background.
Discharge per vaginum with pain lower abdomen was
commonest presenting symptom (58.97%) followed by postcoital bleeding and irregular bleeding (41.03%). Median age at
first sexual contact was 18.9 years. No history of contraceptive
usage in 53.84%. Three cases were HIV positive. No patient
had screening for cervical cancer. 18(46.15%) cases were of
advanced stage, 15(38.46%) stage II and 6(15.38%) to stage I.
Conclusion: Main factors responsible were early onset of
coitus, absence of contraceptive use, multiparity, poor socioeconomic status, rural background and no cervical cancer
screening. In India, women come too late when the cancer is
incurable. As mass screening is not feasible in poor resource
settings, opportunistic screening and downstaging can go a
long way in controlling the disease. |
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| ISSN: | 2277-8551 2455-6882 |