Author(s)

Soumana Oumar Traoré^1,2*, Saleck Doumbia², Cheickna Sylla^2,3, Saoudatou Tall², Ibrahima Tegueté^1,4, Ichiaka Djibo², Faissif Kouyaté^1,2, Issa Ongoiba², Youssouf Traore^1,4, Oumar Moussokoro Traore², Niani Mounkoro^1,4, Mamadou Traore¹

¹Faculty of Medicine and Odontostomatology, University of Science and Technology, Bamako, Mali.
²Department of Gynecology and Obstetrics, Reference Health Centre of Commune V, Bamako, Mali.
³Department of Obstetrics and Gynecology, Koutiala Reference Health Centre, Sikasso, Mali.
⁴Department of Gynecology and Obstetrics, Gabriel Touré University Hospital, Bamako, Mali.

Objective: The aim was to take stock of the screening and treatment of precancerous and cancerous lesions of the cervix in the health district of commune V of Bamako, the “G” point and the Gabriel Touré University Hospital in Bamako, Mali. Patients and Methods: This was a descriptive, cross-sectional, analytical study with retrospective and prospective data collection over an 8-year period from January 1, 2010 to December 31, 2017. This was a multi-center study. Results: From January 1, 2010 to December 31, 2017, 42,492 women were screened, representing a frequency of 24.30%. The median age of the women screened was 32 years; 25% were under the age of 25. Three-fourth of the women screened was in the 20 - 49 age group. Of the 22,842 women screened, 90.1% of them had a normal col to IVA/IVL. However, 4.1% of cervical positivity had with acetic acid and 5.1% of positivity to Lugol. 0.7% of the women screened clinically had cancerous lesions. Histologically, 96.5% of the women screened had a normal cervix with benign lesions. For pathological histological findings, we noted 2.6% of precancerous lesions and 0.8% of squamous cell carcinomas and 0.1% of adenocarcinoma. Conclusion: Improved screening indicators with IVA/IV reduce the rate of morbidity and mortality from cervical cancer.

Epidemiology, Histology, Precancerous and Cancerous Lesions of the Cervix

Traoré, S. , Doumbia, S. , Sylla, C. , Tall, S. , Tegueté, I. , Djibo, I. , Kouyaté, F. , Ongoiba, I. , Traore, Y. , Traore, O. , Mounkoro, N. and Traore, M. (2020) Epidemiological and Histopathological Aspect of Precancerous and Cancerous Lesions of the Cervix in the Health District of Commune 5 of Bamako, the CHU of Point “G” and the Gabriel Touré University Hospital of Bamako in Mali. Journal of Cancer Therapy, 11, 561-570. doi: 10.4236/jct.2020.119048.