Anorlu R I, Ribiu K A, Abudu O O, Ola E R
Department of Obstetrics and Gynaecology, College of Medicine of the University of Lagos, Lagos University Teaching Hospital, PMB 12003 Surulere-Lagos, Nigeria.
J Obstet Gynaecol. 2007 Feb;27(2):181-4. doi: 10.1080/01443610601124398.
Cervical cancer is the most common genital cancer in women in Nigeria. We studied the cervical cancer screening practices of 503 general practitioners in two urban and two rural areas of Lagos state. Only 60 (11.9%) ever informed their patients about cervical cancer screening and female doctors did this more often than their male counterparts (chi(2) = 4.74, p = 0.001). A total of 89 (17.8%) had facilities for Pap smears but only 27(5.4%) screened their patients. A total of 6 out of 27 (22.2%) did routine screening and 21 (77.8%) did selective screening. Only 6 out of 503 (1.2%) therefore did routine screening. Some 126 (25.0%) and 109 (21.7%) would do Pap smears for patients with post-coital bleeding and post-menopausal bleeding. Screening services were more available in the urban than in the rural areas (p = 0.0000). Thus, cervical cancer screening practices and services in Lagos are inadequate, which is no different from other parts of Nigeria and sub-Saharan Africa. Cervical cancer should be accorded the same attention as HIV, malaria, TB and childhood immunisations.
宫颈癌是尼日利亚女性中最常见的生殖系统癌症。我们研究了拉各斯州两个城市和两个农村地区503名全科医生的宫颈癌筛查实践情况。只有60名（11.9%）曾告知患者有关宫颈癌筛查的事宜，女医生比男医生更常这样做（卡方检验χ(2)=4.74，p = 0.001）。共有89名（17.8%）具备巴氏涂片检查设备，但只有27名（5.4%）为患者进行了筛查。27名中共有6名（22.2%）进行常规筛查，21名（77.8%）进行选择性筛查。因此，503名中只有6名（1.2%）进行常规筛查。约126名（25.0%）和109名（21.7%）会为性交后出血和绝经后出血的患者进行巴氏涂片检查。城市地区的筛查服务比农村地区更普及（p = 0.0000）。因此，拉各斯的宫颈癌筛查实践和服务不足，这与尼日利亚其他地区和撒哈拉以南非洲地区并无不同。宫颈癌应得到与艾滋病毒、疟疾、结核病和儿童免疫接种同样的重视。
