Cancer of the Cervix in Eastern Province of Sri Lankan Women-Hospital Based Study
Journal Title: Scholars International Journal of Obstetrics and Gynecology - Year 2018, Vol 1, Issue 1
Abstract
Abstract:The most common gynaecological malignancy is the Cancer of the cervix and it is the second most frequent cancer in women worldwide. Cancer of the cervix is one of the commonest gynecological cancers in Sri Lanka. The squamous cell carcinoma (SCC) is the predominant histologic type of cervical cancer seen across the globe. This retrospective Hospital based study was conducted for five and a half years period. During this period 508 cervical specimens were taken for analysis. A total of 52 cases of cancerous lesions of uterine cervix were undertaken in the department of pathology for this study. Remaining lesions were benign. There were 508 cervical tissue specimens were analysed during this period. Only 52 were malignant and remains were benign. Majority of cervical cancers were met during (96.2%) cervical biopsy either punch or cone biopsy. Patients’ ages ranged from 29-77 years with peak age incidence of cancer was 50-59 years. Majority of patients (36.5%) presented with per vaginal whitish discharge and it is followed by (32.7%) irregular/excessive per vaginal bleeding.Squamous cell carcinoma was the most common histological type; followed by adenocarcinoma 11.5%, and other1.9% infrequent tumour subtypes. According to Broder’s grading system, moderately and poorly differentiated at the time of initial diagnosis and constituting cases as20%,71.1%) and8.9% respectively. During the study period and SCC is the commonest histological type. Most of the women presented late. Therefore public health must be reinforced to detect them in premalignant stage through regular PAP smear programme. Further when women present with abnormal menstruation always to visualize the cervix with speculum examination suspicious lesion need biopsy. There is a need to establish a rational and organized national and local screening program to reduce the prevalence of cancer of the cervix in our community. Keywords: Cervical cancer, abnormal menstruation, Batticaloa, Sri Lanka.
Authors and Affiliations
Thirukumar M, Ahilan S
Keywords
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