Abstract
Objective: To describe the screening for uterine cancer by visual methods. Method: We conducted a prospective and descriptive study over a period of 12 months from January to December 2020. Direct observation of providers and interview of patients were performed for data collection. Results: Out of 3400 patients, 1024 were enrolled for the study, or 30.11%. The average age of the patients was 41 years with the extremes of 17 to 87 years. Women aged 40 to 45 were the most represented with 58.78%, (n = 602). Housewives 85.83% (n = 879), they had a primary education level in 71.09% of cases (n = 728), the vast majority were married 92.28% (n = 945). Multiparous represented 58.78% (n = 602) of the sample, nulliparous 18.26% (n = 187), women living in rural areas 30.17% (n = 309), in urban areas 69.82% (n = 715). The test was positive in 43 patients (4.19%) but squamocylindrical junction was not visible in 17% of cases. The preparation of acetic acid and lugol: good preparation in 100% of cases; the conditions of use are not respected in 27% for acetic acid and 38% for lugol. Conclusion: Routine screening for cervical cancer (SCC) by visual methods is essential to decrease the incidence of invasive cervical cancer.
Highlights
Cancer of the cervix is the third most common cancer in women worldwide [1]
Routine screening for cervical cancer (SCC) by visual methods is essential to decrease the incidence of invasive cervical cancer
The quality of the reception: it was satisfactory in 63%, unsatisfactory in 37% The preparation of acetic acid and lugol: good preparation in 100% of cases, the conditions of use are not respected in 27% for IVA and 38% for IVL
Summary
About 500,000 new cases are recorded each year with advanced stages including 83,000 cases in developed countries and over 400,000 (80%) cases in developing countries. According to data from the Malian Cancer Registry, cervical cancer ranks first among female cancers with a frequency of 26.60% and an incidence of 35.1 per 100,000 inhabitants [3]. In Africa and in Mali, the diagnosis of cervical cancer is in most cases performed at late stages or even incurable, which makes the therapeutic results disappointing and the cost of treatment high [4]. The delay for a specialized consultation is multifactorial, we can note the lack of knowledge about cancer, the care of traditional therapists, the absence of screening, the accessibility to modern care
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