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

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

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.

Keywords: Campagne; Campaign; Cancer du col utérin; Cervical cancer; Conakry; Dépistage; Guinea; Guinée; Screening.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Carcinoma, Squamous Cell / diagnosis
  • Carcinoma, Squamous Cell / epidemiology
  • Carcinoma, Squamous Cell / surgery
  • Cross-Sectional Studies
  • Cryosurgery
  • Early Detection of Cancer / statistics & numerical data*
  • Electrocoagulation
  • Female
  • Guinea / epidemiology
  • Humans
  • Incidence
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Program Evaluation
  • Uterine Cervical Dysplasia / diagnosis
  • Uterine Cervical Dysplasia / epidemiology
  • Uterine Cervical Dysplasia / surgery
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / epidemiology*
  • Uterine Cervical Neoplasms / prevention & control
  • Uterine Cervical Neoplasms / surgery
  • Young Adult