Lankoandé J, Sakandé B, Ouédraogo A, Ouédraogo C M, Ouattara T, Bonané B, Koné B
Département de gynécologie-obstétrique, Faculté des sciences de la santé, Université de Ouagadougou, Burkina Faso.
Sante. 1997 Jul-Aug;7(4):227-30.
We report the findings of a 3-year retrospective study aimed at describing the epidemiological, clinical, anatomical and pathological profile of cervical cancers in an African country. We studied 46 cases of invasive cervical cancer. This type of cancer accounts for 31.7% of female genital cancers. The mean waiting time for a consultation was 7 +/- 2.4 months. The average age of the patients was 48 +/- 3.7 years. They were mostly women who had had several pregnancies without paid work. The main reasons for seeking medical help were metrorrhagia (95.6%), pelvic pain (58.7%) and purulent discharge (45.6%). In 89.1% of the cases, the cancer was inoperable. Pathology results were available in 37 cases. We found 36 cases (97.3%) of epidermoid carcinoma and a single case (2.7%) of adenocarcinoma. There were associated condylomatous lesions in 21.6% of cases. These results demonstrate the importance of making cervical smear tests a routine part of medical examination and of making the public aware of the importance of screening for cervical cancer.
我们报告了一项为期3年的回顾性研究结果，该研究旨在描述一个非洲国家宫颈癌的流行病学、临床、解剖学和病理学特征。我们研究了46例浸润性宫颈癌病例。这种癌症占女性生殖系统癌症的31.7%。平均就诊等待时间为7±2.4个月。患者的平均年龄为48±3.7岁。她们大多是多次怀孕且无带薪工作的女性。就医的主要原因是子宫出血（95.6%）、盆腔疼痛（58.7%）和脓性分泌物（45.6%）。在89.1%的病例中，癌症无法手术切除。37例有病理结果。我们发现36例（97.3%）为表皮样癌，1例（2.7%）为腺癌。21.6%的病例伴有湿疣样病变。这些结果表明将宫颈涂片检查作为医学检查常规项目以及让公众了解宫颈癌筛查重要性的重要性。
