Carcinoma cervix: Prevalence and risk factors in patients from rural India
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 1
Abstract
Aims and Objectives: To know prevalence and risk factors of carcinoma cervix in patients from rural India. Methodology: This study was conducted in tertiary care institute over period of 2 yrs. from May 2005 to Sep 2007. Cases included were all gynecological cases of carcinoma cervix diagnosed on histopathological examination denovo in our hospital or private hospital with established diagnosis. Total 18278 cases were studied. Cases excluded from study were all pregnant patients with carcinoma cervix. The data is presented in the form of Table and percentages. Result: Incidence of carcinoma cervix in tertiary care institute in our study is 2.7 per 1000 women per two years and in an average 1.35 per 1000 annually. Mean age of presentation was 48.4 years in our study. Out of 50 patients 38(76%) are from rural areas where as 14% are from semi-urban and 5% from urban areas. Maximum number of patients belong to lower socioeconomic status. group i.e. 72% Commonest age at menarche as per our study is between 12-13 years in 58%Maximum number of patients 22 out of 50(44%) in our study are peri-menopausal 50% of women married before age 18 years. All 50 patients are married, commonest duration of married life found to be 25 to 29 years Frequency of Coitus (FOC) per week is found more than 3 in 44 out of 50 patients (88%). Most of the patients were having marriage before 19 years of age. 90% of patients in our study are with parity 3 or more. The most common symptom was vaginal bleeding i.e. in 70 % Most common sign in growth on cervix i.e. 68% followed by cervix that bleeds on touch 62%. However normal looking cervix is found in 3 out of 50 patients. Conclusion: The incidence of carcinoma cervix in our institute was 2.29/1000 OPD cases incidence was maximum in 4thand 5th decade in rural areas and in lower socioeconomic, strata of society. Important risk factors associated with carcinoma of cervix were early age of menarche, prolonged duration of menstrual activity early age of marriage, prolonged duration of sexual activity, increased frequency of coitus, early age of first pregnancy and multiparty. Vaginal discharge was the commonest presenting symptoms and cervix that bleeds on touch was commonest sign.
Authors and Affiliations
Balaji P Nalwad, Rajesh V Darade, Preshit Chate
Keywords
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