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Prevention of Cervix Cancer in a Low Resources Country: Operational and Clinical Aspects of a Screening’s Network in a Suburb of Abidjan (Côte d’Ivoire)

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Open Journal of Obstetrics and Gynecology 2016年第1期6卷 85-91页

作者： Horo Apollinaire Koffi Abdoul Aka Kacou Edele Seni konan koné mamourou University Hospital Yopougon Abidjan Cote d’Ivoire

Background: Cancer of the cervix is the most common cancer and the leading cause of death by cancer in women in developing countries. According to WHO, there were in 2002 in the world more than 500,000 new cases of cervical cancer, with more than 90% in developing countries. Secondary prevention of cervical cancer is done through screening of precancerous lesions and early diagnosis of cancer followed by treatment. Objectives: Our experience was reported in the management of a network of screening in the prevention of cancer of the uterine cervix. Method: After a program of training and upgrade to a pool of specialist doctor of obstetrics and gynaecology and midwifery centers health on visual screening methods, a reference site that is also a trainer site was defined and equipped with video-colposcopy and cryotherapy device. In April 2014, four peripheral sites have been installed with an equipment of lamp, magnifying glasses, acid acetic 5% and Lugol’s iodine. The screening network has been implemented and works on the model of reference-cross-reference. Results: The assessment of a year’s activity of the peripheral centers reported 993 patients, 653 consultations at the reference site, 106 precancerous lesions (6%), and 86 cases of references. The age of attendance peak lies in the age group of 35 - 55 years. Conclusion: The improvement of women’s participation requires organized screening, mass communication strategies, and systematic proposal of screening in consultation.

关键词： Network Screening Cervical Cancer

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Vulvar Basal Cell Carcinoma of a 40 Years Old Black Woman: About a Case and Literature Review

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Open Journal of Obstetrics and Gynecology 2016年第9期6卷 553-557页

作者： Gninlgninrin Apollinaire Horo Kacou Edele Aka Abdoul Koffi konan Séni B. Effi koné mamourou Gynaecology Obstetrics Department Teaching Hospital of Yopougon Abidjan Cote d’Ivoire

Vulva Basal Cell Carcinoma (BCC) is a rare tumor. It usually occurs in Caucasians at an advanced age. We present a case of vulvar BCC in an African patient under 40 years old with HIV infection successfully treated su... 详细信息

关键词： Basal Cell Carcinoma Vulva Cancer Africa Woman Young Adult

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Uterine Inversion: An Uncommon Progressive Forme of Leiomyosarcoma Uterine: Case Report and Review of Literature

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Open Journal of Obstetrics and Gynecology 2016年第2期6卷 144-148页

作者： Apollinaire Gninlgninrin Horo Kacou Edele Aka Minata Fomba Abdoul Koffi N’guessan Alphonse Aman Mohamed Kouyate konan Séni Benjamin Effi koné mamourou Gynaecology Obstetrics Department Teaching Hospital of Yopougon Abidjan C&ocircte d’Ivoire Anatomy and Pathology Department Teaching Hospital of Treicvhville Abidjan C&ocircte d’Ivoire Histopathology Department Teaching Hospital of Treichville Abidjan C&ocircte d’Ivoire

Uterine leiomyosarcoma (LMS) is a rare uterine malignancy that represents approximately 1% of uterine cancers. The nonspecific symptoms cause difficulties in the diagnostic, prognostic and therapeutic. We report an unusual progressive form, with a uterine inversion of LMS fundal externalized out of the vulva in a patient of 48 years old premenopausal.

关键词： Leiomyosarcoma Uterine Inversion Externalized out of the Vulva

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