Incidence of Hydronephrosis in Cervical Cancer Patients in A Tertiary Hospital Lagog, Nigeria.

A C Sowunmi, A T Ajekigbe, A O Alabi, A O Popoola, O A Fatiregun, A M Akinyanju
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Abstract

Background: Cervical cancer is still a global health challenge that affects women of reproductive age group and consequently causes a drawback on the social and economic stability of nations. Developing countries suffer a greater burden of the disease because of several factors such as poverty, multiple sexual partners, unbalanced diet, poor knowledge and attitude to prevention of diseases and late-presentation.

Objective: The aim of this study is to evaluate the incidence of hydronephrosis in cervical cancer patients in Lagos University Teaching Hospital (LUTH), Lagos, Nigeria for the period of 3 years (2010-2012).

Method: This study is a cross sectional study carried out among cervical cancer patients seeking treatment in the Radiotherapy department of the Lagos University Teaching Hospital (LUTH), between the year 2010 and 2012, to find out the incidence of hydronephrosis using abdominopelvic ultrasonography.

Results: The incidence of hydronephrosis during the 3years period studied was 43.7%. A rise in the incidence of hydronephrosis of 5.4% in 2011 and 13.3% in 2012 was noted. The mean age of the patients was 55.5 years. 122 (56.7%) were grand multiparous and 123 (57.2%) had multiple sexual partners. An increase of 8.3% in 2011 and 9.3% in 2012 was noted in the incidence of cervical cancer cases studied. 107 (49.8%) presented at stages III and IV.

Conclusion: Late presentation of patients is still a major challenge affecting treatment outcomes. The presence of hydronephrosis was noticed at staging, during or after treatment, resulting in the need to separate this population from current Stage IIIB classification. The presence of hydronephrosis may or may not be related to the disease and so adequate staging is important.

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尼日利亚Lagog某三级医院宫颈癌患者肾积水发生率
背景:宫颈癌仍然是影响育龄妇女的全球健康挑战,因此对各国的社会和经济稳定造成不利影响。发展中国家由于贫困、多个性伴侣、饮食不均衡、对预防疾病的知识和态度不佳以及就诊时间过晚等因素而承受更大的疾病负担。目的:评价尼日利亚拉各斯大学教学医院(LUTH)宫颈癌患者肾积水的发生率,为期3年(2010-2012)。方法:本研究对拉各斯大学教学医院(LUTH)放射治疗科2010 - 2012年宫颈癌患者进行横断面研究,利用腹部盆腔超声检查肾盂积水的发生率。结果:3年内肾积水发生率为43.7%。肾积水的发病率在2011年和2012年分别上升了5.4%和13.3%。患者平均年龄为55.5岁。大产122例(56.7%),多性伴侣123例(57.2%)。所研究的宫颈癌发病率在2011年和2012年分别增加了8.3%和9.3%。107例(49.8%)出现在III期和iv期。结论:晚期患者仍然是影响治疗结果的主要挑战。在分期、治疗期间或治疗后都注意到肾积水的存在,因此需要将该人群与目前的IIIB期分类分开。肾积水的存在可能与疾病有关,也可能与疾病无关,因此适当的分期很重要。
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