Screening for Precancerous and Cancerous Lesions of The Uterine Cervix Using Visual Tests at The French-Speaking Regional Training Center for Gynecological Cancer Prevention in Conakry, Guinea

Abstract

Diallo Fatoumata Bamba, Diallo Mamadou Hady, SOW Alhassane II, Diallo Issa, Leno Daniel William Athanase, Balde Ibrahima Sory, Sy Telly and Keita Sow

Introduction: The objectives of this study were to determine the frequency and to describe the histological type of precancerous and cancerous lesions of the uterine cervix at the Centre Regional Francophone de Formation à la Prevention des Cancers Gynecological in Conakry (CERFFO-PCG).

Materials and Methods: This was a 3-year retrospective descriptive and analytical study, from January 1, 2021 to December 31, 2023, conducted at the CERFFO-PCG in Conakry, based on the records of patients who had undergone cervical cancer screening.

Results: During our study, 3,681 women underwent screening, which revealed 102 VIA-positive cases (2.8%) and 121 VILI- positive cases (3.3%). The incidence of precancerous and cancerous cervical lesions was 47.4% and 7.4% respectively. The average age of patients was 42.83 ± 11.80 years, with extremes of 22 and 70 years. Multiparous women were the most numerous in our sample, accounting for 47.0% of cases. The most frequently encountered histological diagnosis was high-grade dysplastic lesions (CIN2 and CIN3), which accounted for 34.7%.

Conclusion: The frequency of precancerous and cancerous cervical lesions was very high in our study. Massive popularization of these tests coupled with HPV testing could improve the prognosis of cervical cancer in our country.

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