DOI: 10.36347/sjams.2023.v11i07.015

Pages: 1289-1293

Introduction: Cervical cancer is a tissue neoformation due to excessive, abnormal, uncontrolled and autonomic cell proliferation that develops at the expense of the cervix [1]. The aim of this study was to take stock of the multicenter cervical cancer screening campaigns carried out in the Kayes region using IVA visual methods; IVL. Materials and Methods: this was a multicentre descriptive and analytical cross-sectional study. Extending over a period of 12 months from 1 January 2017 to December 2018; on women of childbearing potential who have had sex and agree to participate in screening. Data entry was done on Microsoft Word 10 and analyzed on Microsoft Excel 10, IBM SPSS 20.0 software. The statistical test used was the khi2 test to compare our results which were significant for a probability p< 0.05. Results: our study took place in 4 screening campaigns and involved 1000 women who agreed to undergo cervical cancer screening. The average age was 31.16 years with extremes ranging from 14 to 70 years. Married women accounted for 87.5% compared to 7.1% of single women. Among the women screened married, 409 had a polygamous partner or 46.74%. Among the women screened the multiparous were the most numerous 299/1000 or 29.9% followed by the pauciparous 26.5%. The JPC (squamocolumnar junction) was visible in 986/1000 or 98.6%. The positivity of IVA and IVL was equal to 49/1000 or 4.9%; with suspicion of cancer at 2/1000 or 0.2% each. The biopsy was performed in 5.1% (51/1000) of the women screened. The frequency of precancerous and cancerous lesions of the cervix was 1.9% and 0.5%, respectively. The most common histological type was CIN1 found on 27.45% of biopsy pieces. Twenty-five women received anti-infective treatment (cervicitis); 6 women received a total hysterectomy; 2 cases of conization for CIN1 and 16 women referred to the CHU-GT (Centre Hospitalo-Universitaire GABRIEL TOURE) in Bamako (MALI) for treatment. Conclusion: cervical cancer is a public health ......