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Volume 1 | Issue 1 | January - June 2017

Carcinoma Uterine Cervix: Evolving trends and Impact of National Cancer Control Program in India

Article 1, Volume 1, Issue 1, jan-june 2017, Page 16-22  PDF Download

Document type : Original Article

Author : Abhishek Shankar.

Abstract

Background: Globally, cervical cancer is third most common type of cancer after breast and lung cancers among women. In this study, patients treated in 1977, 1997 and 2006 were taken into consideration and data were analysed to see the changes in clinic-pathological profile of the patients over period of time.

Methods: This study comprised of 61, 62 and 66 histologically proven patients of carcinoma cervix seen and treated in 1977, 1997 and 2007 respectively in Department of Radiotherapy and Oncology, Christian Medical College, Ludhiana. A detailed analysis was carried out to see the change in demographic profile of the patients, change in treatment modalities and change in treatment related complications.

Results: The urban women attendance was increased over years. Premenopausal women percentage was increased from 36% in 1977 to 50% in 2006. Most of the patients were in age-group less than 60 years from 60% to 75%. Mean parity was 5.86, 4.32, 3.62 in 1977, 1997 and 2006 respectively. In early years, patients were presenting in late stages and surgery was not possible in locally advanced cases. Rate of hysterectomy increased from 5% in 1977 to 20% in 2006 due to early presentation. Patients were treated with teletherapy and brachytherapy in 85% and 83% of cases in 1997 and 2006 respectively. In the year 2006, 72% of the cases were treated with chemoradiotherapy. Urinary and rectal complications were decreased from 1997 to 2006 whereas hematological toxicities were increased from 5% in 1997 to 16% in 2006. Patient 5 year survival was 62% in 1997 to 87% in 2006 and follow up was improved significantly over time. Conclusions: The results of this sample study agree with the national data showing down staging and receding prevalence rate. The awareness amongst population about early diagnosis urges us to pass this message to doctors especially gynaecologists and surgeons for the need of judicious application of combined modality treatment in carcinoma cervix in our set up.

Keywords: Cervical Cancer, National Cancer Control Program, Evolving trends

 

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