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. 2016 Mar 1:23:64.
doi: 10.11604/pamj.2016.23.64.8450. eCollection 2016.

Visual inspection with acetic acid and Lugol's iodine in cervical cancer screening at the general referral hospital Kayembe in Mbuji-Mayi, Democratic Republic of Congo

Banza Kamba Desire  1 , Cilundika Mulenga Philippe  1 , Kabengele Thierry  2 , Kitenge Wa Momat Félix  3 , Gilbert Utshudienyema Wembodinga  4 , Kakudji Luhete Prosper  3 , Luboya Numbi Oscar  1
Affiliations

Visual inspection with acetic acid and Lugol's iodine in cervical cancer screening at the general referral hospital Kayembe in Mbuji-Mayi, Democratic Republic of Congo

Banza Kamba Desire et al. Pan Afr Med J. .

Abstract

Introduction: Cervical cancer is the leading cause of morbidity and mortality of women from cancer in the developing World. It is the primary cause of reduced life expectancy in Sub-Saharan countries such as Democratic Republic of Congo. The aim of this work was to determinate the socio-demographic profile of women with precancerous and cancerous lesions of the cervix, to determinate the frequency of VIA and VILI positive cases and to show the challenges that can be faced in managing patients with abnormalities in the city of Mbuji-Mayi in the Democratic Republic of Congo.

Methods: As part of its activities, the "Association de Lutte contre le Cancer du Col utérin" (ALCC) organized a community outreach followed by free voluntary testing for cervical cancer for two weeks (26(th)March to 10(th) April 2011) at the General Referral Hospital Kayembe in Mbuji-Mayi (Democratic Republic of Congo).

Results: A total of 229 women were examined. 38% of tests (VIA + VILI) were positive with 6 clinically suspected cases of invasive cancer at stage 1 (7% of cases). Nearly 70% of patients were still of childbearing age and had started their first sexual intercourse before 18 years of age and 86% of cases were multiparous. Given the material, financial and technical constraints, 75% of patients were placed in a monitoring program of 9 months to 1 year (= expectation and another test) while 11% of them were selected for a biopsy to be locally practiced and sent to the pathologist. Nearly 8% of the cases were candidates for hysterectomy.

Conclusion: Given the difficulties encountered and the frequency of positive tests, we recommend another study with a larger sample, improved working conditions (mainly equipment) and the association of another test such as the Human Papilloma Virus (HPV) test.

Keywords: Cervical cancer; Democratic Republic of Congo; Mbuji-Mayi; VIA; VILI; screening; visual methods.

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References

    1. Yang BH, Bray FI, Parkin DM, Sellors JW, Zhang Z. Cervical cancer as a priority for prevention in different world regions: an assessment using years of life lost. Int J Cancer. 2004 Apr 10;109(3):418–24. - PMC - PubMed
    1. Miller AB, Nazeer S, Fonn S, Brandup-Lukanow A, Rehman R, Cronje H, Sankaranarayanan R, Koroltchouck V, Syrjanen K, Singer A, Onsrud M. Report on consensus conference on cervical cancer screening and management. Int J Cancer. 2000 May 1;86(3):440–7. - PubMed
    1. Kitchener HC, Symonds P. Cervical intra-epithelial neoplasia in low resource countries. The Lancet. 1999;353(9156):856–57. - PubMed
    1. Gaffkin L. Performance of visual inspection with acetic acid for cervical cancer screening: A qualitative summary of evidence to date. ObstetGynecolSurv. 2003;58(8):543–80. - PubMed
    1. Lawrence MJ, Wigton TR, Leonharduralt JG. Screening for cervical neoplasia in unselected rural Guatemalan population directly using visual inspection Acetic Acid Effective implementation: a pilot study. J LowGenit Tract Dis. 2005;9(4):232–35. - PubMed