Journal of Epidemiology and Public Health
ISSN: 3065-9078 | DOI: 10.64030/3065-9078
Yaya Coulibaly, Souleymane Coulibaly, Mamadou Lamine Ouattara, Ibrahim Guindo, Fallaye Kante, Vital traore, Mamadou sima, Cheick B traore and Nouhoum Telly
Introduction Cervical cancer is a disease caused by the human papillomavirus. It is a real health problem in Mali due to delayed screening and the lack of molecular diagnosis. It can be cured if detected early. The 9-valent HPV vaccine is used in girls to prevent cervical cancer. This study aimed to screen for cervical cancer by visual inspection with acetic acid and Lugol›s acid and to look for histological types in patients in Mali.
Methods This was a cross-sectional study, which took place from January to March 2021 in Bamako and Kati. Samples were collected from patients in health facilities, tested by visual inspection with acetic acid/visual inspection with Lugol and cytology examination of biopsies at the G-spot pathology department.
Results A total of 305 patients were screened using visual inspection in the 6 reference health centers, the hospitals of Bamako and Kati; 63 biopsies were taken from the women and subjected to cytological examination at Point G. The results obtained showed that six (6) cytological types of cervical cancer exist in Mali and are divided between precancerous lesions (Car epid, CJN1) with 55.56%, and cancerous lesions (Ade car, Car in situ, CIN2, CIN3) with 44.44%.
Conclusion Cervical cancer is prevalent in Mali and manifests as precancerous and cancerous lesions. IVA/IVL tests and conventional cytology allow early detection and identification of different histological types of cervical cancer, respectively. This study should be extended to other regions of the country by raising awareness among women to adhere to it and ensuring patient care.