INCIDENCE AND MORTALITY OF CERVICAL CANCER IN ARAD COUNTY DURING 1957-2017

Read full article
Article Title: INCIDENCE AND MORTALITY OF CERVICAL CANCER IN ARAD COUNTY DURING 1957-2017
Authors: Ana-Liana Tataru 1, 2, Loredana Marc1, 2, Alexandru Marius Furău1,3, Voicu Dașcău1, 2,
Casiana Boru1, 2, Roxana Livia Furău1, Cristian George Furău1, 2, Afilon Jompan1
Affiliation: 1 “Vasile Goldis” Western University of Arad, Arad, Romania
2Arad County Clinical Hospital, department of Obstetrics and Gynecology, Romania
3Arad County Clinical Hospital, department of Oncology, Romania
Abstract: Regarding cervical cancer mortality Romania is in the first place and in the second one, after Bulgaria, at the incidence of this pathology. Cervical cancer can be prevented through vaccination, Babeș-Papanicolaou smear and HPV DNA typing, to identify precancerous lesions. A retrospective study has been done during 1957-2017 in Arad County, to identify the mortality and morbidity from cervical cancer. The sample included all the registered cases in the Oncology Department and treated in the Obstetrics-Gynecology Department, in the studied period. Statistical data and the graphics and charts have been analyzed and drawn with Excel, IBM SPSS Statistic 20 and MedCalc. During this period, there have been registered 8.769 cases of genital cancer in women, most of them being breast related (n=4005; 45,62%), while the cervical cancer had a percentage of 29,83%, meaning 2616 cases. Squamos cell carcinoma is the histologically most frequently subtype to be seen (73,8%), followed by adenocarcinoma (11,4%). Mortality through cervical cancer depends on the stage of the disease when first diagnosed, if it has been found out in the first stage the 5-year survival rate is 92%, in second and third stage is 56%, and in forth stage is 17%. Death represented 63,79% of cases before 1991 and 58,76% after 1991. Romania needs imperative actions to be taken, mostly concerned on the highest risk age categories and building a positive attitude regarding cancer screening, knowing that a positive attitude is never automatic.
Keywords: cervical cancer, mortality, Arad county
References: 1. BRAN, I. R. TOMA, V. TOMA, A. L. TATARU, E. D. POPOVICI, Cervical Cancer Clustering in Arad and cervical cancer screening programmes in Romania. 5th International Multidisciplinary Scientific Conference on Social Sciences and Arts SGEM 2018, www.sgemvienna.org, SGEM2018 Vienna ART Conference Proceedings, ISBN 978-619-7408-32-4 / ISSN 2367-5659, 19 – 21 March, 2018, Vol. 5, Issue 3.1; 587-594 pp
2. Brenard E. Craina M, Ghidul furnizorilor în cadrul programului de screening an cancerului de col, Editura Mitron, 2014, Timișoara, România, p. 27-103
3. Furău Gheorghe, Cancerul de col uterin în Spitalul de Obstetrică-Ginecologie „Dr. Salvator Vuia” Arad, Editura „Vasile Goldiș” University Press, Arad, România, 2004
4. Globocan 2018 -Cervical cancer incidence Disponibil on-line: https://gco.iarc.fr/today/data/factsheets/populations/900-world-fact-sheets.pdf (accesat în 07.02.2018)
5. Globocan 2018 -Cervical cancer incidence Disponibil on-line: https://gco.iarc.fr/today/data/factsheets/populations/900-world-fact-sheets.pdf (accesat în 07.02.2018)
6. Globocan 2018 -Cervical cancer incidence in Europe, Disponibil on-line: https://gco.iarc.fr/today/data/factsheets/populations/908-europe-fact-sheets.pdf (accesat în 07.02.2018)
7. Globocan 2018 -Cervical cancer incidence in Romania, Disponibil on-line:https://gco.iarc.fr/today/data/factsheets/populations/642-romania-fact-sheets.pdf (accesat în 07.02.2018)
8. Hoffman, B.; Schorge, J.; Schaffer, J.; Halvorson, L.; Bradshaw, K.; Cunningham, F. Williams GINECOLOGIE , ediția a 2-a; editura Hipocrate, București, România, 2015, p 692-979
9. Kurman R.J., Hedrick Elleson L., Ronnett B.M., Blaustein`s Phatology of the Female Genital Tract, 6th ed., Editura Springer Science and Business Media, London, Anglia, 2011, p. 156-188
10. Natalie Armstrong, Helen Eborall, The sociology of medical screening: past, present and future, Sociology of Health & Illness, Volume 34, Issue 2, February 2012 , Pages 161–176.
11. Odicino F, Pecorelli S, Zigliani L, Creasman WT, History of the FIGO cancer staging system, Int J Gynaecol Obstet. 2008 May, pp 205-210;
12. Popescu, I.; Ciuce, C. Obstetrics and Gynecology. Tratat de chirurgie, vol. V Obstetrică-Ginecologie, Coordonator: Peltecu, G., ediția a II-a, Editura Academiei Române, București, România, 2014, p 3-17, 139-227
13. Romanian Government, http://cnsisp.insp.gov.ro, Recorded cancer patients by sem. I 2016 compared with sem. I 2015, pp 1-28.
14. The Sociology and Politics of Health, A Reader, edited by Michael Purdy and David Banks, Routledge Taylor and Francis Group, 2001, pp 151-158;
*Correspondence: Ursu RG, Cervical Cancer Control in Romania Requieres Optimization, Cervical Cancer: Recent Research and Review Studies | www.smgebooks.com, Published Date: April 16, 2016, pp1- 6;