Introduction/Background Cervical cancer is the second most cancer in women of Bangladesh. Clinical stage is the single most important prognostic factor. Acording to GOG report, the errors in FIGO clinical staging ranges from 24% in stage IB to 67% in stage IIA.MRI is used for diagnosis of the stromal, parametrial, bladder and vaginal invasion. In Bangladesh, MRI is not easily available,costly and interpretation is often not correct.We have to depend on Examination Under Anesthesia (EUA) which is more objective and informative.
Methodology Aim of the study was to know the distribution of stages of cervical cancer in BSMMU Hospital. Objective was to do clinical staging together with cystoscopy and proctoscopy.A retrospective study done at Gynaecologic Oncology Department of BSMMU on 735 patients from December 2011 to June 2019.Results are described in two groups, 08-12-11 - to 01-08-17 (group I) and 02-08-17 to 30-06-19 (group II).
Results Statistical analysis done in two groups.Parameters were age, size of tumor, cystoscopy, biopsy and final diagnosis of the disease. No difference found regarding age distribution,size of tumor and rate of biopsy taking. Differences found in rate of performance of cystoscopy which was lower in second group of patients (27.3% vs 2.73%).Another difference found in stage of the diasease. Most common stage in first group was stage II B (28.26%). In second group also Stage II B.(50.78%)
Conclusion Rate of cystoscopy decreased in 2017 and 2018. Stage II B cases has been increased in 2017 and 2018. This difference may be due to change in operators performing the procedure and due to observer variation.
Disclosure Nothing to disclose
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