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
2020
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 Toure 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: Improved screening indicators with IVA/IV
reduce the rate of morbidity and mortality from cervical cancer.
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