Missing Cases of Cancer Cervix in Newly Started Out Patient Department of Radiotherapy, Cims, Bilaspur (C. G.)

Abstract

BACKGROUND:Cancer of the cervix is the second most common cancer among women's worldwide. In India also, cancer of cervix is second most common cancer among women's and number one killer. Estimated incidence rate of 22/lac population. [1] Cancer cervix is difficult to cure once symptoms developed. Prognosis is strongly dependent upon the stage of cancer at the time of detection and treatment. In our institute CIMS, Bilaspur (C. G.) newly form cancer unit start providing services from August 2013. In our Hospital registry a cross-sectional base line data were collected, it was eye opener that proportion of cancer of cervix registry are less as compared nationwide HBCR & PBCR programme. OBJECTIVE: 1. To find out the reason for low registration of cancer cervix cases in OPD of cancer Unit. 2. To developed/suggest appropriated screening program. MATERIAL AND METHODS: Retrospective study was carried out to collect all information from-Year 2012 to June 2015, from medical records & Registers of department of pathology, department of Obstratric & Gynaecology and Medical Record Department, information collected regarding cancer cervix patient in semi structured format and analysed by SPSS software to inquire about cancer of cervix patient. STATISTICAL ANALYSIS: Using SPSS software 11.5 version. Statistic were reported in form of frequency and percentages. RESULT: In this present study out of total diagnosed cervical cancer cases in our institute only 61.11% cases reach up to radiotherapy department for registration and 38.88% cases are lost during referral and follow-up. Yield of cancer cervix screening camp was only 5.75% and OPD based screening 22.89% with cervical smear cytology, both figure are quit low as cytology is estimated to have a mean sensitivity of 58% and specificity of 69% [2] both sampling and detection error probably contribute to low to moderate sensitivity of cytology. CONCLUSION: Coordination between different departments is lacking and patients fail to register in cancer unit, they lost during referral and followup. Overall cervical cancer screening rate is very low with few numbers of Pap smear and cervical biopsy sample.