Invasive cervical cancer in a Tunisian Center. Epidemiological, clinical and therapeutic approach. Retrospective study on 96 cases

Bannour, N.; Boughizane, Sassi; Naifer, R.; Sláma, Ondřej; Trabelsi, Amel; Bibi, M.; Zheni, S; Abdallah, M. Ben; Khaïri, H.; Bouaouina, Noureddine

doi:10.1007/s10269-004-0117-5

Cited by 3 publications

(8 citation statements)

References 17 publications

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“…In our study, the average age of patients with cervical cancer is 55.46 years whereas the minimum age is 23 years, underlying the presence of young patients. This minimum age is comparable to that found by Bannour et al [30]. These results show that development of cervical cancer generally occurs in young individuals and this could be justified by an early sexual life, either by STIs or by multiple partners.…”

Section: Discussionsupporting

confidence: 88%

“…In our records, we found an annual average of 70.25 cases of cervical cancer. This result is comparable to that of Diabate et al [22], but much higher than those of Touré et al [23] and Bannour et al [24]. Frequency of cervical cancer in our study has steadily increased over the years from 23 cases (8.19%) in 2012 to 154 cases (54.80%) in 2015.…”

Section: Discussionsupporting

confidence: 88%

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Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Nguendo

Tchinda

2019

GSC Biol. and Pharm. Sci.

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Uterine cervix cancer is the most common cancer found worldwide, mostly in developing countries. In Africa as well as in the Caribbean, it represents the second cause of mortality, just after maternal mortality. In Cameroon, data on cervix cancer are erratic, whereas the incidence of the disease is increasing. This paper is designed to define the epidemiological features of uterine cervix cancer, since it could help identifying behavioral, environmental and genetic risks factors involved in its development. A 4-year retrospective study of patients seen with the diagnosis of cervix cancer at the Medical Oncology unit of the Yaoundé General Hospital between January 2012 and December 2015. Then a prospective study was conducted among health professionals working in the same oncological unit in 2017. The demographic pattern (age of patients, socio professional activity, marital status), clinical features (cancer diagnosis), treatment modalities and outcome were studied. Of the 7775 patients enrolled in the study, 3.61% (n = 281) were carriers of uterine cervix cancer. We noted a relatively large annual growth of cases and the annual average was 27 cases. The average age of our patients was 55.46 years with extreme ages ranging from 23 to 88 years Carcinoma of the cervix occurs much more frequently among women of lower income and education level. Although several risk factors were suspected in our study such as age, sexual factors (including STIs), none of them really testify their responsibility in the genesis of the cancer. However, improving the effective management of different patients suffering from cervix cancer requires an improvement in the conditions for the early and voluntary detection of people at risk, and the quality of care administered to patients.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Nguendo

Tchinda

2019

GSC Biol. and Pharm. Sci.

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“…The average age at diagnosis of 50 years ± 4 years ( Figure 1) is super-imposable at the average ages of 49 -50 reported by Acharki A. et al [14] in Morocco in 2002 and Monchy D. et al [15] in Cambodia in 2005. The peak in the age group of 35 -44 years, 92 (29.6%) cases (Figure 1), is the opposite of 61 -70 years in Tunisia, where in 2004, the mean age was 54 years with 12.5% under 40 years [10]. In other African series, the average age between 43 and 48 years has been reported in Cameroon [10] and Senegal [16].…”

Section: Discussionmentioning

confidence: 87%

“…The peak in the age group of 35 -44 years, 92 (29.6%) cases (Figure 1), is the opposite of 61 -70 years in Tunisia, where in 2004, the mean age was 54 years with 12.5% under 40 years [10]. In other African series, the average age between 43 and 48 years has been reported in Cameroon [10] and Senegal [16].…”

Section: Discussionmentioning

confidence: 87%

“…Invasive cancer of the cervix was the most important gynecological and mammary cancer with a higher proportion (Text1) than the average of 43.65% in sub-Saharan Africa [9] and 56.3% in Tunisia [10]. The average age at diagnosis of 50 years ± 4 years ( Figure 1) is super-imposable at the average ages of 49 -50 reported by Acharki A. et al [14] in Morocco in 2002 and Monchy D. et al [15] in Cambodia in 2005.…”

Section: Discussionmentioning

confidence: 99%

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Problem of Invasive Cervical Cancer’s Management in the Obstetric Gynecologic Department of the National Hospital Donka, Conakry

Camara¹,

Leno²,

Traore³

et al. 2017

OJOG

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Introduction: The objectives of this study were to describe the diagnostic and therapeutic aspects, identify problems and evaluate the survival rate of invasive cervical cancer patients. Patients and method: It was a retrospective descriptive study of 7 years from 1 January 2006 to 31 December 2012. Records of invasive cervical cancer were histologically confirmed. The clinical and therapeutic data collected were transferred to Epi info 7 and SSPS version 18 software with a significance level p < 0.05. The telephone network was used to provide information on the vital condition after confidential agreement. Kaplan Meier was used to assess the overall survival rate. Results: Invasive cancer of the cervix was frequent (58.79%) with an annual median rate of 16.7%, with extremes of 5.8% and 20.6%. 88.70% of the patients was referred from regions of the country (54.02%); the median age was 50 years with extremes of 16 and 84 years and a peak of 29.6% between 35 and 44 years; 76.20% were housewives; uneducated women were about 60.12%; Stage III was about 45.3%. Most of the patients were confirmed histologically after 30 days (68%). The means of treatment were surgery about 91 (29.26%), palliation 75 (24.12%), radiotherapy 59 (18.97%) and chemotherapy 41 (13.18%) with surgery (9, 65%) or radiotherapy (4.82%). The main complication was metrorrhagia, 164 cases (56.55%), with overall survival rate of 51.8% at 2 years and 5.1% at 5 years. Conclusion: Invasive cervical cancer in later stages is treated for low survival in the context of our work. Early detection and treatment of precan-

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Prognosis of Hydronephrosis in Cervical Cancer at the Libreville Cancer Institute

Milama¹,

Mougougou²,

Ibinga³

et al. 2022

IJCU

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Introduction: In Gabon, cervical cancer is second only to breast cancer. Urological complications such as ureteral obstruction and hydronephrosis can occur in the course of this pathology. This work aimed to evaluate the impact of hydronephrosis on the overall survival of patients. Patients and Methods: the records of patients followed at the ICL from January 1, 2015, to December 31, 2019, a period of 5 years, were collected. The study included patients followed for cervical cancer and who had a complete medical record: histological evidence and extension workup. Patients not followed up at ICL were not included in the study. Results: the records of 183 patients with cervical cancer during the study period were retained. The mean age was 55.3±14.1 years, with extremes of 21 and 89 years. Stages II, III, and IV accounted for 87.4% of cancers, and stages III and IV (51.3%) represented the majority of clinical stages. In univariate survival analyses, assessed from the date of cancer diagnosis, patients with hydronephrosis during their cancer had poor survival compared with those without. Patients who had no hydronephrosis had better overall survival at three years (85%) compared with those who had developed urologic complications (54%). Conclusion: hydronephrosis has a negative effect on the prognosis of cervical cancer, and indeed, it significantly decreases the overall survival of patients with cervical cancer. Therefore, it is essential to screen them systematically to treat them as effectively as possible.

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Invasive cervical cancer in a Tunisian Center. Epidemiological, clinical and therapeutic approach. Retrospective study on 96 cases

Cited by 3 publications

References 17 publications

Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Descriptive epidemiology of uterine cervix cancer at the medical oncology unit of the Yaoundé general hospital-Cameroon

Problem of Invasive Cervical Cancer’s Management in the Obstetric Gynecologic Department of the National Hospital Donka, Conakry

Prognosis of Hydronephrosis in Cervical Cancer at the Libreville Cancer Institute

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