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[几内亚科纳克里宫颈癌筛查活动结果分析]

[Analysis of uterus cervical cancer screening campaign results in Conakry, Guinea].

作者信息

Leno Daniel William Athanase, Diallo Fatoumata Diaraye, Camara Ansoumane Yassima, Magassouba Mamadou, Komano Faya Dendo, Traore Ayelama, Niamy Delphine, Tolno Julien, Cissoko Oumou, Bangoura Mbalia, Keita Namory

机构信息

Hôpital national Donka, centre régional francophone de formation pour la prévention des cancers gynécologiques (CERFFO-PCG), PB 834 Conackry, Guinée.

Hôpital national Donka, centre régional francophone de formation pour la prévention des cancers gynécologiques (CERFFO-PCG), PB 834 Conackry, Guinée.

出版信息

Bull Cancer. 2017 Nov;104(11):914-920. doi: 10.1016/j.bulcan.2017.09.012. Epub 2017 Nov 7.

Abstract

OBJECTIVE

Reduce morbidity and death rates of women with cervical cancer in Guinea.

METHODOLOGY

This was a five-day cross-sectional study carried out in two successive years (2012 and 2013) at the CERFFO-PCG in Conakry. The target population was women aged 25-49. Approximately 500 women for 2012 and 900 women were expected in these cervical screening campaigns by visual methods (IVA and IVL) with immediate treatment of precancerous lesions. After histologic confirmation of the cancer lesions, the management was carried out according to the protocols in force in the country. We performed a simple descriptive analysis and the results expressed as a percentage and on average.

RESULTS

The target population represented 60.4% in 2012 and 76.2% in 2013, of the total number of women received. The incidence rate of high-grade intraepithelial lesions and cancers increased from 2.6% in 2012 to 0.9% in 2013. In 2012, the 57 precancerous lesions were treated with immediate treatment and 10 cases of cancers out of the 16 had a surgical treatment. Also in 2013, all precancerous lesions were treated immediately and 2 cancers out of the 4 benefited from surgery.

CONCLUSION

Our research shows that, with creativity, flexibility, good organization and efficient use of resources, morbidity and death rates of women with cervical cancer in a very resources can be significantly reduced.

摘要

目的

降低几内亚宫颈癌女性的发病率和死亡率。

方法

这是一项为期五天的横断面研究,于连续两年(2012年和2013年)在科纳克里的CERFFO - PCG进行。目标人群为25至49岁的女性。预计在2012年约有500名女性,2013年约有900名女性参与这些通过视觉方法(IVA和IVL)进行的宫颈筛查活动,并对癌前病变进行即时治疗。在癌症病变经组织学确认后,根据该国现行方案进行管理。我们进行了简单的描述性分析,结果以百分比和平均值表示。

结果

目标人群在2012年占所接待女性总数的60.4%,在2013年占76.2%。高级别上皮内病变和癌症的发病率从2012年的2.6%降至2013年的0.9%。2012年,57例癌前病变得到即时治疗,16例癌症中有10例接受了手术治疗。同样在2013年,所有癌前病变均得到即时治疗,4例癌症中有2例接受了手术治疗。

结论

我们的研究表明,通过创造力、灵活性、良好的组织和资源的有效利用,在资源非常有限的情况下,宫颈癌女性的发病率和死亡率可显著降低。

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