Clinicopathological profile of cervical cancer patients attending at tertiary level hospital in Dhaka, Bangladesh
Cervical cancer is the fourth most common cancer occurring among women worldwide, with almost more than half a million new cases each year. In Bangladesh, cervical cancer is the second leading cancer (17.9%) after breast cancer (27.4%) in women. Despite of the overburdened situation, there are very few data about clinical profile, staging, histopathological status of the disease. This study aimed to evaluate the relationship of clinical profile of cervical cancer patients with clinical staging and pathological grading. This cross-sectional study was conducted in the department of gynecological oncology of Bangabandhu Sheikh Mujib Medical University (BSMMU) and National Institute of Cancer Research & Hospital (NICRH), Dhaka. The Study was carried out over a period of six month from March 2024 to September 2024. 100 patients were enrolled in this study according to the histopathology report proven cervical cancer. Sample was selected by purposive sampling technique. Demographic characteristics of the study subjects show that 70% were of age 50 or >50 years with mean age of the subjects being 51.8 ± 7.7 years. Rural patients were a bit higher 58% (n=58) than the urban ones 42% (n=42). The highest 39% of respondents were from middle class (10,001-20,000 BDT/month income). Cervical growth seen in 90% of the cases and most of the growths bleed on touch (86%) and fornix were involved in 90% of the cases. Based on post-menopausal bleeding, 47% of the carcinoma cervix patients were having advanced disease (Stage III), majorities 74% were having squamous cell carcinoma. 66% of the carcinoma cervix patients were having Stage II disease, majorities 56% were having histopathologically grade II and 58% were having histopathologically grade III. The result of this study can be a ground for further analytical type of study to show the correlation between clinical presentation and FIGO staging with histopathological grading and this information can also be utilized while making public health policies and implementation of cervical cancer control programs.
