Develop the epidemiological profile of patients who received cervical cancer screening by visual method and colposcopy.
Describe the therapeutic management by resection with snare and histological aspects.
This was a prospective, descriptive and analytical realized the 06 and June 7, 2015 at the maternity Health Center Nabil Choucair Dakar. All patients had received cervical cancer screening of the uterus by visual methods (IVA / IVL), then a colposcopy in case of positive result. Those in who atypical transformation of Grade 2 or unsatisfactory colposcopy was found had received resection with snare. The surgical specimens were sent in anatomy - pathological.
865 patients were involved in the study. The epidemiological profile of our patient was a multipare of childbearing activity, aged 42 on average, 5 years with an average gestity of 4.4 and an average parity of 3.94. In our series all patients were married and had their first sexual intercourse at 21 years. They used the pill as a contraceptive. 95 patients or 11% had positive results after visual inspection with acetic acid and Lugol applications.
All patients with positive results after application of acetic acid and Lugol had received colposcopy. This colposcopy was normal and satisfactory in 52 cases or 55%, showed a viral colpite in 12 cases or 13%, atypical processing of grade 1 in 8 or 8%, atypical transformation of grade 2 in 21 cases or 22% and 2 cervical polyps or 2%. The 21 patients who had an atypical transformation grade 2 had received the resection snare for diagnostic and therapeutic purposes.
The pathological examination of the cone biopsy revealed piece cervicitis 10 cases or 48%, a condyloma in 3 cases 14%, a CIN2 in 3 cases 14%, and CIN3 in 5 cases or 24%.All were in conizations sano. The postoperative course was uneventful.
Cervical cancer is a real public health problem in developing countries. To human resources, developing countries like Senegal must develop simple strategies; inexpensive, effective globally that must respond to the "screen and treat"