Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Ranvijay Singh
RCSM Government Medical College, India
Posters & Accepted Abstracts: Gynecol Obstet (Sunnyvale)
Objectives: To compare the presentation of cervical cancer and the treatment modalities received by the patients at a semiurban/ rural area of Western India with that of published literature from urban centers. Materials & Methods: We conducted a retrospective analysis of patients with cervical cancer who presented at a semi-urban/ rural cancer center between 2010 and 2013. A total of 141 patients with the median age of 51 years (25 to 81) were studied. The demographic and clinical variables included age, annual family income, profession, co-morbidities, baseline hemoglobin, prior screening, clinical stage, treatment administered and complications. The pathological variables included tumor type and grade. Results: In our study, all patients presented with vaginal bleeding. Majority of the patients (51 patients, 37.7%) had stage 3B disease. Since majority presented at later stages (stage 3B), CTRT was the most common treatment modality used in our population. On histopathology, 127 patients (90%) had squamous cell carcinoma while 14 patients (10%) had adenocarcinoma. In 96 patients (68%), the tumor grade was not known while it was high, intermediate and low grade in 6 (4%), 18 (13%) and 21(15%) patients, respectively. The follow up data of our study was not adequate; hence the long term survival results could not be presented. Conclusion: Patients in rural India setting present at later stages which could be improved by creating awareness, improving their personal hygiene and adequate screening.
Email: ranvijay707@yahoo.co.in