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Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea)

Received: 1 June 2023     Accepted: 10 July 2023     Published: 20 July 2023
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Abstract

Introduction: The prevention of cervical cancer involves screening for precancerous lesions of the cervix using IVA/IVL visual tests, an approach to be popularized in countries with limited resources. The objective of this study was to contribute to the study of screening for precancerous conditions of the cervix at the center. Methods: it was a descriptive retrospective study lasting three (3) years (2016-2018), which involved all patients with precancerous lesions of the cervix detected by the IVA/IVL test coupled with histology at the Francophone Regional Training Center for the Prevention of Gynecological Cancer in Donka. Results: for 2784 patients seen at the center, 207 tested positive for VIA/IVL, including 153 cases of precancerous and/or cancerous lesions (153/207) for an overall frequency of 73.9%. The most affected age group was 35-54 years. The average age was 44.04 ± 11.65 years, with extremes of 21 and 76 years. Women most often resided in Conakry (71.1%), not attending school (66.7%), married (76.8%), premenopausal (59.5%), multiparous (72%) and had used at least one contraceptive method (57.5%). Atypical grade 1 transformation was most encountered at colposcopy (50.7%). Precancerous lesions were more common with 40.6% of cases, histology reported 33.3% of invasive cancer. IVA/IVL tests were 74% sensitive and 92% specific. Conclusion: IVA/IVL, is a very useful evaluation method in the study and diagnosis of CIN and invasive cancer. Histology remains the means of confirming the diagnosis.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 4)
DOI 10.11648/j.jgo.20231104.12
Page(s) 90-94
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Screening, Precancerous Lesions, Cervix

References
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Cite This Article
  • APA Style

    Conte Ibrahima, Soumah Aboubacar Fode Momo, Diallo Abdourahamane, Sylla Ousmane, Cissoko Mamadou, et al. (2023). Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea). Journal of Gynecology and Obstetrics, 11(4), 90-94. https://doi.org/10.11648/j.jgo.20231104.12

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    ACS Style

    Conte Ibrahima; Soumah Aboubacar Fode Momo; Diallo Abdourahamane; Sylla Ousmane; Cissoko Mamadou, et al. Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea). J. Gynecol. Obstet. 2023, 11(4), 90-94. doi: 10.11648/j.jgo.20231104.12

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    AMA Style

    Conte Ibrahima, Soumah Aboubacar Fode Momo, Diallo Abdourahamane, Sylla Ousmane, Cissoko Mamadou, et al. Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea). J Gynecol Obstet. 2023;11(4):90-94. doi: 10.11648/j.jgo.20231104.12

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  • @article{10.11648/j.jgo.20231104.12,
      author = {Conte Ibrahima and Soumah Aboubacar Fode Momo and Diallo Abdourahamane and Sylla Ousmane and Cissoko Mamadou and Sy Telly and Keita Namory},
      title = {Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea)},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {4},
      pages = {90-94},
      doi = {10.11648/j.jgo.20231104.12},
      url = {https://doi.org/10.11648/j.jgo.20231104.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231104.12},
      abstract = {Introduction: The prevention of cervical cancer involves screening for precancerous lesions of the cervix using IVA/IVL visual tests, an approach to be popularized in countries with limited resources. The objective of this study was to contribute to the study of screening for precancerous conditions of the cervix at the center. Methods: it was a descriptive retrospective study lasting three (3) years (2016-2018), which involved all patients with precancerous lesions of the cervix detected by the IVA/IVL test coupled with histology at the Francophone Regional Training Center for the Prevention of Gynecological Cancer in Donka. Results: for 2784 patients seen at the center, 207 tested positive for VIA/IVL, including 153 cases of precancerous and/or cancerous lesions (153/207) for an overall frequency of 73.9%. The most affected age group was 35-54 years. The average age was 44.04 ± 11.65 years, with extremes of 21 and 76 years. Women most often resided in Conakry (71.1%), not attending school (66.7%), married (76.8%), premenopausal (59.5%), multiparous (72%) and had used at least one contraceptive method (57.5%). Atypical grade 1 transformation was most encountered at colposcopy (50.7%). Precancerous lesions were more common with 40.6% of cases, histology reported 33.3% of invasive cancer. IVA/IVL tests were 74% sensitive and 92% specific. Conclusion: IVA/IVL, is a very useful evaluation method in the study and diagnosis of CIN and invasive cancer. Histology remains the means of confirming the diagnosis.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea)
    AU  - Conte Ibrahima
    AU  - Soumah Aboubacar Fode Momo
    AU  - Diallo Abdourahamane
    AU  - Sylla Ousmane
    AU  - Cissoko Mamadou
    AU  - Sy Telly
    AU  - Keita Namory
    Y1  - 2023/07/20
    PY  - 2023
    N1  - https://doi.org/10.11648/j.jgo.20231104.12
    DO  - 10.11648/j.jgo.20231104.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 90
    EP  - 94
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231104.12
    AB  - Introduction: The prevention of cervical cancer involves screening for precancerous lesions of the cervix using IVA/IVL visual tests, an approach to be popularized in countries with limited resources. The objective of this study was to contribute to the study of screening for precancerous conditions of the cervix at the center. Methods: it was a descriptive retrospective study lasting three (3) years (2016-2018), which involved all patients with precancerous lesions of the cervix detected by the IVA/IVL test coupled with histology at the Francophone Regional Training Center for the Prevention of Gynecological Cancer in Donka. Results: for 2784 patients seen at the center, 207 tested positive for VIA/IVL, including 153 cases of precancerous and/or cancerous lesions (153/207) for an overall frequency of 73.9%. The most affected age group was 35-54 years. The average age was 44.04 ± 11.65 years, with extremes of 21 and 76 years. Women most often resided in Conakry (71.1%), not attending school (66.7%), married (76.8%), premenopausal (59.5%), multiparous (72%) and had used at least one contraceptive method (57.5%). Atypical grade 1 transformation was most encountered at colposcopy (50.7%). Precancerous lesions were more common with 40.6% of cases, histology reported 33.3% of invasive cancer. IVA/IVL tests were 74% sensitive and 92% specific. Conclusion: IVA/IVL, is a very useful evaluation method in the study and diagnosis of CIN and invasive cancer. Histology remains the means of confirming the diagnosis.
    VL  - 11
    IS  - 4
    ER  - 

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Author Information
  • Department of Gynecology and Obstetrics of the Ignace Deen National Hospital, The University Hospital of Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics of the Ignace Deen National Hospital, The University Hospital of Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics of the Ignace Deen National Hospital, The University Hospital of Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics of the Ignace Deen National Hospital, The University Hospital of Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics of the Donka National Hospital, The University Hospital of Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics of the Ignace Deen National Hospital, The University Hospital of Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics of the Donka National Hospital, The University Hospital of Conakry, Conakry, Guinea

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