D épistage de masse par frottis cervicovaginal : résultats d’une expérience africaine

Conclusion Le taux de frottis pathologiques retrouvé dans cette étude confirme l’intérêt de poursuivre le dépistage du cancer du col par cette pratique. Le renforcement de son accessibilité géographique et financière à travers un programme de prévention de niveau national pourra contribuer efficacement au recul des cas de cancer du col de l’utérus. Objectives To assess the impact of smear test in the fight against cervix uteri cancer in Senegal. Methods This was a descriptive cross-sectional study of 1836 Pap smears performed in patients over 15 years during several screening campaigns in Senegal conducted between June 2010 and June 2012. We analyzed epidemiological data, pathological smears, and the proposed management. Results In 69% of cases, the women were less than 45 years old. They were mostly multiparous and did not use contraceptive methods before. The smears were interpreted in 91.4% (n =1661) and were pathological in 5.2% of cases. They revealed mainly atypical squamous cells of undetermined significance, squamous intraepithelial low-grade lesions, and squamous intraepithelial high-grade lesions, respectively in 2.5% (n =46), 1.7% (n =30) and 1% (n =19) of cases. Multiparity, early marriages were the main risk factors. Patients with pathological smars had colposcopy with cryotherapy (23 cases), and colposcopy and biopsy (13 cases). A hysterectomy was performed in 4 cases. Conclusion The pathological smear rate found in this study conf...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research