PATTERN OF PRIMARY GYNECOLOGICAL MALIGNANCIES AS SEEN IN A TERTIARY HOSPITAL SITUATED IN THE RIVERS STATE OF NIGERIA

PATTERN OF PRIMARY GYNECOLOGICAL MALIGNANCIES AS SEEN IN A TERTIARY HOSPITAL SITUATED IN THE RIVERS STATE OF NIGERIA
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DOI:
10.1016/0020-7292(90)90714-v
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发表时间:
1990-02-01
影响因子:
3.8
通讯作者:
KATCHY, KC
KATCHY, KC
中科院分区:
医学4区
文献类型:
--
作者:
BRIGGS, ND;KATCHY, KC

文献摘要

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1984年1月至1987年12月,在哈科特港大学教学医院(尼日利亚)的1706名妇科住院患者中,有72名患有女性生殖器官原发性癌症(不包括恶性滋养细胞疾病)。其中53例为宫颈癌,10例为卵巢癌,6例为子宫内膜癌,3例为外阴癌。没有阴道癌或输卵管癌病例。卵巢癌是40岁以前最常见的妇科癌症,宫颈癌是40岁以后最常见的妇科癌症。卵巢生殖细胞肿瘤是常见的。患有子宫内膜癌的患者早期报告到医院接受治疗,但患有其他类型癌症的患者通常报告较晚。由于到医院晚,医疗设施不足,拖欠率高,治疗效果很差。由于有证据表明宫颈癌可能通过性行为传播,因此呼吁推广使用避孕套,以减少发展中国家宫颈癌的发病率。
Between January 1984 and December 1987, out of a total gynecological admission on 1706 patients at the University of Port Harcourt Teaching Hospital (Nigeria), 72 had primary cancers of the female genital organs (excluding malignant trophoblastic diseases). Of those, 53 had cervical, 10 ovarian, 6 endometrial and 3, vulval cancers. There were no cases of vaginal or fallopian tubal cancers. Ovarian cancer was the commonest gynecological cancer before the age of 40 while cervical cancer was commonest after 40. Germ cell tumors of the ovary were frequent. Patients with endometrial cancer reported early to hospital for treatment but those with other types of cancers generally reported late. On account of late arrival to hospital, inadequate medical facilities and a high defaulting rate, the outcome of treatment was very poor. Since evidence exists to the effect that cervical cancer may be sexually transmitted, a plea is made for the promotion of the widespread use of condoms in order to reduce the prevalence of invasive carcinoma of the cervix in developing countries.