Article Text
Abstract
Introduction Cervical cancer is the third most common cancer in women in Tunisia. Squamous cell carcinoma remains a health care problem in Tunisia in the time of International HPV eradication.Cervical cancer is the third most common cancer in women in Tunisia. Squamous cell carcinoma remains a health care problem in Tunisia in the time of International HPV eradication.
Methods We report 308 cases of cervical cancer treated at Salah Azaiez Institute between January 2019 and December 2022.
Results Among 308 patients, mean age was 55 years (22-86 years). Most patients lived in north Tunisia (247 cases). It was squamous Cell carcinoma in 269 cases. Main symptom was metrorrhagia. Mean tumor size at diagnosis was 5cm (1-10cm). Tumor was ulcero-budding in 97 cases and infiltrative in 64 cases. Vagina was involved in 185 cases mostly in the Upper Third. We reported a parametrial involvement in 165 cases. Rectovaginal septum was tumoral in 10 cases and cystoscopy was pathologic in 15 cases. FIGO staging was IIB in 96 cases followed by stage III in 34 cases. Treatment of locally advanced cervical cancer was based on radiotherapy chemotherapy and brachytherapy.
Conclusion/Implications Cervical cancer remains a health problem in the region. We need to reninforce the efforts for implementing a plan for elimination of cervical cancer.