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Assessment of alternative approaches of primary cervical cancer screening among women in low-income environments 低收入环境中妇女原发性宫颈癌筛查替代方法的评估
Pub Date : 2021-05-31 DOI: 10.5897/JCREO2020.0168
Emmanuel Eilu, S. Akinola, Julius Tibyangye, R. O. Adeyemo, Martin Odoki, A. Adamu, Sarah Kemuma Onkoba, Moindi Jeridah Kemunto, Ismail Adebayo Abyola, C. Kato
Alternative techniques for detecting cancer of the cervix uteri alongside its early precancerous lesions still remain necessary for low income environments since morbidity and mortality due to cervical cancer continues to be on the rise. We recruited one thousand and seventy-seven women aged 15-55 years from selected study hospitals in Eastern Uganda and examined them using Papanicolaou (Pap) smear, direct visual inspection with 5% acetic acid solution (VIA), and human papillomavirus (HPV) DNA testing. Study participants detected with high-grade lesions (HSIL) or cancer cells on Pap smear test, positive VIA test (acetowhite lesions, cervical ulcer or growth), and positive high-risk HPV DNA (relative light units (RLU) were immediately scheduled for colposcopy and cervical biopsy. Of the forty percent of the women confirmed with pap smear positive, 43 of the 63 women had invasive carcinoma (68.3%), while 89 out of 137 women with confirmed biopsy were diagnosed with high grade CIN (CIN2,3) (65%). DVI identified 46 of 63 carcinomas (73%) as well as 47 of 74 high grades CIN (CIN 2, 3) (64%). There was a variation in HPV DNA results due to the cutoff value considered in defining the final result. HPV DNA of high-risk HPV types was detected 39 (61.9%) out the 63 women diagnosed invasive cervical cancer, while 66 (73.3%) or 46 (51%) was detected in the biopsy of women diagnosed with high grade CIN (CIN 2,3). Similarity in identification of high-grade cervical abnormalities was registered by the testing methods. Both VIA and HPV genetic testing methods diagnosed similar numbers of high grade CIN 2,3 and invasive cancer cases as Pap smears. Nevertheless, individual test methods categorized study participants with no cervical disease as being positive. Key words: Visual inspection with acetic acid (VIA), cervical intraepithelial neoplasia (CIN), human papillomavirus (HPV).
由于宫颈癌的发病率和死亡率持续上升,在低收入环境中,检测宫颈癌及其早期癌前病变的替代技术仍然是必要的。我们从乌干达东部选定的研究医院招募了177名年龄在15-55岁之间的妇女,并使用巴氏涂片、5%醋酸溶液(VIA)直接目视检查和人乳头瘤病毒(HPV) DNA检测对她们进行了检查。研究参与者在巴氏涂片检查中检测到高级别病变(HSIL)或癌细胞,VIA检测阳性(醋酸白病变、宫颈溃疡或生长),以及高危HPV DNA(相对轻单位(RLU))阳性,立即安排进行阴道镜检查和宫颈活检。在40%确诊为巴氏涂片阳性的女性中,63名女性中有43名患有浸润性癌(68.3%),而137名确诊活检的女性中有89名被诊断为高级别CIN (cin2,3)(65%)。DVI发现了63个癌中的46个(73%)以及74个高级别CIN (CIN 2,3)中的47个(64%)。由于在确定最终结果时考虑的截止值,HPV DNA结果存在差异。63例浸润性宫颈癌女性中,39例(61.9%)检出高危型HPV DNA,而高分级CIN女性活检检出66例(73.3%)或46例(51%)(CIN 2,3)。在鉴定高级别宫颈异常的相似性是通过检测方法登记的。VIA和HPV基因检测方法诊断出的高级别CIN 2、3和浸润性癌症病例数量与巴氏涂片检查相似。然而,个别测试方法将没有宫颈疾病的研究参与者分类为阳性。关键词:醋酸目视检查,宫颈上皮内瘤变,人乳头瘤病毒(HPV)。
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引用次数: 0
Impact of an Educational Program on Sexual Dysfunction Associated With Cervical Cancer 宫颈癌相关性功能障碍教育项目的影响
Pub Date : 2021-04-22 DOI: 10.12691/JCRT-9-2-1
H. Hassan, Ragaa Ali, S. A. E. Salam, Hagar Kamal
Background: Sexuаlity is an important part of normal human functioning. Causes of sexual dysfunction following cervical cancer treatments may be multi-factoriаl but it may often result from the direct effects of the treatment. Aim: study the impаct of an educational program on sexual dysfunction of women with cervical cancer Methods; Design: А quаsi-experimental design. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospitаl. Subjects: А purposive sample of 70 women. Tools: structured interviewing questionnaire sheet, and а femаle sexual function index. Results: The results of the study progression and improvement of all items of women’s Sexual Function Index (Desire, Аrousаl, Lubricаtion, Orgаsm, Sаtisfаction, and Pain) post-program compаred to pre-one. Conclusion: The teaching program was very effective in improving sexuality for women with cervicаl cancer. Recommendations: Women's counseling activities regarding cervicаl cаncer, and sexuality need to be popularized and facilities and decision-mаking аids mаde available to those who need them.
背景:性是正常人类功能的重要组成部分。宫颈癌治疗后的性功能障碍的原因可能是多因素的,但它通常是由治疗的直接影响引起的。目的:探讨宫颈癌妇女性功能障碍教育的影响;设计:А准实验设计。地点:贝尼-苏夫大学医院肿瘤科门诊。对象:А有目的的70名女性样本。工具:结构化访谈问卷表,以及男性性功能指数。结果:与计划前相比,计划后女性性功能指数(欲望、Аrousаl、润滑、性器官、性欲、疼痛)各项目的研究进展和改善情况。结论:该教学方案对改善宫颈癌患者的性行为有较好的效果。建议:需要普及有关宫颈癌和性行为的妇女咨询活动,并向有需要的人提供设施和决策。
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引用次数: 5
Self-Knowledge among Women with Cervical Cancer 子宫颈癌妇女的自我认知
Pub Date : 2021-03-19 DOI: 10.12691/JCRT-9-1-2
Hagar Kamal, Ragaa Ali, S. A. E. Salam, H. Hassan
Background: Cervical cancer is the 4th most frequent cancer in women. Aim: The present study aimed to assess self-knowledge among women with cervical cancer. Methods; Design: A descriptive research design was used. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: Data was collected through a structured interviewing questionnaire sheet and a scoring system for women’s knowledge about cervical cancer. Results: The results of the study revealed that there was a statistically significant difference in the women's knowledge about cervical cancer, and socio-demographic characteristics. Conclusion: The study concluded that socio-demographic characteristics of women could affect their knowledge level regarding cervical cancer. Recommendations: Implement an educational program and disseminate information that focuses on educating women about cervical cancer risks, prevention, and early detection to enhance uptake of cervical cancer.
背景:宫颈癌是女性中第四大常见癌症。目的:本研究旨在评估宫颈癌妇女的自我认知。方法;设计:采用描述性研究设计。地点:贝尼-苏夫大学医院肿瘤科门诊。对象:有目的的70名女性样本。工具:通过结构化访谈问卷和妇女对宫颈癌知识的评分系统收集数据。结果:研究结果显示,两组妇女对宫颈癌的认知程度和社会人口统计学特征存在统计学差异。结论:妇女的社会人口学特征会影响她们对宫颈癌的认识水平。建议:实施一项教育计划并传播信息,重点是教育妇女宫颈癌的风险、预防和早期发现,以提高对宫颈癌的认识。
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引用次数: 3
Open the Therapeutic Revolution Door of Antiviral Antitumor by Improving Systemic Non-Specific Immunity 提高全身非特异性免疫,开启抗病毒抗肿瘤治疗革命之门
Pub Date : 2021-01-08 DOI: 10.12677/WJCR.2021.111003
海祥 林
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引用次数: 0
Peripheral Stem Cell Transplantation and its Complications 外周干细胞移植及其并发症
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.7.E108
M. Oaks
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引用次数: 0
Aggressive Systemic Mastocytosis: Types, Symptoms, Diagnosis and Treatment 侵袭性全身肥大细胞增多症:类型、症状、诊断和治疗
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.7.131
K. Palan
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引用次数: 0
A Study of the Effects of Yangyin Fuzheng Decoction on HIF-1α and Arg1 Expression in Lung Cancer Mice Based on Acidic Microenvironment 酸性微环境下养阴扶正汤对肺癌小鼠HIF-1α和Arg1表达影响的研究
Pub Date : 2021-01-01 DOI: 10.12677/WJCR.2021.111001
魏 冬梅
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引用次数: 0
Non-melanoma Skin Cancer: Types, Symptoms, Causes and Treatment 非黑色素瘤皮肤癌:类型、症状、原因和治疗
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.7.134
Xun Li
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引用次数: 0
Research Progress of Electrochemical Biosensor for Detecting Exosomes 电化学生物传感器检测外泌体的研究进展
Pub Date : 2021-01-01 DOI: 10.12677/WJCR.2021.112005
俊芳 朱
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引用次数: 0
Soft Tissue Sarcoma: Types, Symptoms, Diagnosis and Treatment 软组织肉瘤:类型、症状、诊断和治疗
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.7.130
A. Purkayastha
Correspondence to: Abhishek Purkayastha, Department of Radiation Oncology, Command Hospital, Pune, India, E-mail: abhi5296@gmail.com Received: January 08, 2021; Accepted: January 22, 2021; Published: January 29, 2021 Citation: Purkayastha A (2021) Soft Tissue Sarcoma: Types, Symptoms, Diagnosis and Treatment. J Cancer Res Immunooncol. 7:130. Copyright: © 2021 Purkayastha A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Soft Tissue Sarcoma: Types, Symptoms, Diagnosis and Treatment Abhishek Purkayastha* Department of Radiation Oncology, Command Hospital, Pune, India
收信人:Abhishek Purkayastha,印度浦那指挥医院放射肿瘤科,E-mail: abhi5296@gmail.com接收日期:2021年1月8日;录用日期:2021年1月22日;发表:1月29日,2021引文:Purkayastha A(2021)软组织肉瘤:类型,症状,诊断和治疗。[J]中华医学杂志。版权所有:©2021 Purkayastha A.这是一篇根据知识共享署名许可条款发布的开放获取文章,该许可允许在任何媒体上不受限制地使用、分发和复制,前提是注明原作者和来源。软组织肉瘤:类型、症状、诊断和治疗*印度浦那指挥医院放射肿瘤科
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引用次数: 0
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The Journal of Cancer Research
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