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E u r o p e a n C o n g r e s s o n
Vaccines & Vaccination
and Gynecologic Oncology
Vaccines & Vaccination and Gynecologic Oncology 2018
O c t o b e r 2 6 - 2 7 , 2 0 1 8
B u d a p e s t , H u n g a r y
Critical Care Obstetrics and Gynecology
ISSN: 2471-9803
Background:
Cervical Cancer is almost 100% preventable but every year across Africa, 53,000 women die of the disease. In Tanzania,
the incidence is 50.9/100,000 per year with mortality rate of 37.5 per 100,000. It is detected late because of lack of diagnostic facilities,
resource people and lack of effective treatment of early cervical lesions.
Objective:
To detect, treat and eliminate pre-cancerous lesions before developing into cancer and to estimate visual inspection under
acetic acid (VIA) positivity rate in productive age groups of 30-50 yrs.
Methods:
VIA was used to detect the pre-cancerous lesions and treat them. Inclusion criteria for cryotherapy or loop electrosurgical ex-
cision procedure (LEEP) treatment were VIA positive results, lesions <75% of the cervical area and or <2mm beyond the probe. Lesions
suspicious of cancer, reaching vaginal wall or having cervix deformities were excluded from treatments.
Results:
From Jan’ to Jun’ 2018; 572 out of 880 Female targets were screened of cervical cancer (Cacx). 45 out of 572 had VIA posi-
tive results. The VIA Positivity Rate was 8%. 32 (71%) women were treated by cryotherapy and 6 (13%) by LEEP. The 27 (5%) with large
lesions suspected to have carcinoma of the cervix (Cacx) had biopsy for histopathological confirmation and referrals for radiotherapy.
Experiences & lessons learnt:
Majority of 486 (85%) women knew someonemay die of cervical cancer andmay as well die of it. Almost
all 543 (95%) felt worried if found to have cervical cancer lesion. 143 (25%) of women from the villages reported to have difficulties with
time or money to travel to the regional hospital, the only centre offering for cervical cancer screening and treatment in Singida.
Conclusion:
VIA, cryotherapy or LEEP techniques require fewer resources, low-tech equipment and provide immediate results.
Transferability:
VIA through facility based or outreach basis, equipped with cryotherapy /LEEP offers great benefit in diagnosis and
treatment of early Cacx in Tanzania
cmsuleiman@gmail.comEarly cervical cancer: detection, treatment and
control, Singida Region Tanzania
Suleiman C Muttani, E Kimario and S Sankar
Stars of Poverty Rescue Foundation, Tanzania
Crit Care Obst & Gyne 2018, Volume: 4
DOI:10.21767/2471-9803-C1-003