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Overview of Cervical Cancer (Cervix Uteri) in Kuwait: Retrospective Study

Issue: Vol.3, No.4 - October 2004

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Article Type: Manuscript

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  1. Dr Saroj Vasishta
    MD
    P.O. Box 3128, Salmiyah Central: 22032
  2. Ahmed Ragheb
  3. Abraham Varghese
  4. Omar El Hattab
  5. Medhat Oteifa
  6. Adel Al-Asfour

Cervical cancer is the fifth most common cancer in Kuwait females living in Kuwait. In 2002, cancer cervix represented 4.6% of all cancer cases among Kuwait females and 4.7% of all cancer cases among non-Kuwaiti females, while the crude incidence rate was 3.5 per 100,000 among Kuwaiti females and 3.1 per 100,000 among non-Kuwaiti females (1).

The aim of this study is to review the clinico-pathological pattern of this disease in Kuwait, the various treatment modalities used in their management and their results.

Case records of one hundred and six women with cervical cancer treated between 1995 and 1999 at Kuwait Cancer Control Centre available, were retrospectively studied and analysed. In our study population, 37% females were Kuwaitis, median age was 45 years and 75.5% presented with stage IB & stage II tumors. The commonest presenting symptom was vaginal bleeding.

Almost half of the patients were treated with radical radiotherapy and half with surgery with or without postoperative radiotherapy. Few patients treated abroad received neo-adjuvant chemotherapy.

Thirty two patients (31%) relapsed during follow-up. The overall 5 years survival was 79% in Stage 1, 86% in Stage II, 47% in stage III and 0% in Stage IV (1 year survival in Stage IV being 50%).

The commonest late radiation sequelae was grade 2 vaginal atrophy and telangiectasia occurring in 22% of the irradiated patients followed by proctitis & rectal bleeding.

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