Epidemiological and Histopathological Aspect of Precancerous and Cancerous Lesions of the Cervix in the Health District of Commune 5 of Bamako, the CHU of Point “G” and the Gabriel Touré University Hospital of Bamako in Mali

Abstract

Objective: The aim was to take stock of the screening and treatment of precancerous and cancerous lesions of the cervix in the health district of commune V of Bamako, the "G" point and the Gabriel Touré University Hospital in Bamako, Mali. Patients and Methods: This was a descriptive, cross-sectional, analytical study with retrospective and prospective data collection over an 8-year period from January 1, 2010 to December 31, 2017. This was a multi-center study. Results: From January 1, 2010 to December 31, 2017, 42,492 women were screened, representing a frequency of 24.30%. The median age of the women screened was 32 years; 25% were under the age of 25. Three-fourth of the women screened was in the 20-49 age group. Of the 22,842 women screened, 90.1% of them had a normal col to IVA/IVL. However, 4.1% of cervical positivity had with acetic acid and 5.1% of positivity to Lugol. 0.7% of the women screened clinically had cancerous lesions. Histologically, 96.5% of the women screened had a normal cervix with benign lesions. For pathological histological findings, we noted 2.6% of precancerous lesions and 0.8% of squamous cell carcinomas and 0.1% of adenocarcinoma. Conclusion:

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“…In our study population, there was a predominance of males with a sex ratio of 1.08. This result is similar to that of Traoré [22] in Bamako, Mali, who observed a male predominance with a sex ratio of 1.18. It is also similar to the result found by Idbenyahia and Khatouri [23] in Marrakech, Morocco, who also found a clear male predominance (68.3%).…”

“…In our population, 92.77% of patients were on diuretic therapy and 78.32% on ACEI/ARB II. Our results are similar to those of Traoré [22] in whom 96.34% and 89.02% of the patients were respectively on diuretic and ACE inhibitor. Abderrhamane [34] in Bamako, found 90% diuretic-therapy.…”

“…14.29% had atrial extrasystoles in our study population. This result is comparable to that of Traoré [22] who found a proportion of 15.85%. Pio et al [30] noted that in their sample, 20.3% had atrial extrasystoles.…”