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A Review of One Hundred and Three (103) Histologically Confirmed Cases of Carcinoma of the Cervix at the University of Ilorin Teaching Hospital, Ilorin, Nigeria
Abstract
During a ten-years period from January 1991 to December 2000, 103 patients with histological confirmation of cervical cancer were managed at the University of Ilorin Teaching Hospital, Ilorin. Eighty-Three of these patients with adequate information in their folder constitute the study group. Overall, 103 cases of confirmed cervical carcinoma were seen and constitute 2.6% of gynaecological admissions. The highest incidence, (31.3%) each was found in two age groups, 40-49 and 60 69 years. There was no patient below 30 years of age. There was high parity among the patients, with 97.5% being multiparous. History of multiple sexual partners or having multiple sexual cohorts was high (69.9) among the studied patients.
The commonest symptom was bleeding pervaginam in 81.9% of the patients, followed by vaginal discharges in 54.2%. Majority of the patients presented after more than one month of onset of symptoms (96.3%) and already had advanced stage (IIb and above) disease at presentation (75.9%). The commonest histological type of cervical cancer was squamous carcinoma accounting for 81.3%.
It is noted that clerking of patients with suspected carcinoma of the cervix is deficient in terms of epidemiological documentation. Majority of our patient still present late with advanced stage disease although cervical cancer is largely a preventable disease. It is suggested that local efforts be directed at improving the epidemiological documentation, which will assist in identifying risk factor for preventive measures especially screening of those with the identified risk factors.
Key Words: Carcinoma of the Cervix, Review, Ilorin.
Nigerian Medical Practitioner Vol. 45 No 4, 2004.(56-60)
The commonest symptom was bleeding pervaginam in 81.9% of the patients, followed by vaginal discharges in 54.2%. Majority of the patients presented after more than one month of onset of symptoms (96.3%) and already had advanced stage (IIb and above) disease at presentation (75.9%). The commonest histological type of cervical cancer was squamous carcinoma accounting for 81.3%.
It is noted that clerking of patients with suspected carcinoma of the cervix is deficient in terms of epidemiological documentation. Majority of our patient still present late with advanced stage disease although cervical cancer is largely a preventable disease. It is suggested that local efforts be directed at improving the epidemiological documentation, which will assist in identifying risk factor for preventive measures especially screening of those with the identified risk factors.
Key Words: Carcinoma of the Cervix, Review, Ilorin.
Nigerian Medical Practitioner Vol. 45 No 4, 2004.(56-60)
