Journal of Basic and Clinical Reproductive Sciences

Journal of Basic and Clinical Reproductive Sciences
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Screening for Cervical Cancer: Experience from a University Hospital in North Western Nigeria (2007‑2009)

Author(s): Nnadi Daniel C, Nwobodo Emmanuel I, Airede Lydia R, Arkilla Magaji, Sahabi Siddique M

Background: Cervical cancer is the most common gynecological cancer among women in Nigeria. The incidence is on the increase and poses a public health problem. The etiological agent is the human papilloma virus that is sexual transmitted. The cervical cancer incidence is related to lifestyle, poverty and sexual practices. Fortunately, it is a preventable disease as it is preceded by a pre‑invasive phase that can be detected and treated. There is paucity of report in literature on cervical cancer screening in Sokoto North‑West Nigeria. Aim: To determine the uptake, indications and results of cervical cancer screening in Usmanu Dan‑fodiyo University Teaching Hospital (UDUTH), Sokoto. Materials and Methods: A 3‑year descriptive study of the results of cervical cytology among women who attended the gynaecological out‑patient clinic of UDUTH, Sokoto. Results: During the period of study, 126 cervical smears were taken and 96% (121/126) of them were considered adequate for cytological evaluation thus constituting the subjects of the study. The average annual uptake of cervical smear was 1.29%. The main indications for cytologic smears were abnormal uterine bleeding 33.9% (41/121) and suspected carcinoma of the cervix 28.1% (34/121). Cytologic study was positive for dysplastic cells in 7% (25/121) of cases. Ten percent (12/121) of them were high grade squamous intra‑epithelial lesions while invasive carcinoma was seen in 3.3% (4/121) of the smears. Conclusion: Presence of abnormal cervical smear in 20% of the study subjects underscores the need for routine screening for cervical cancer. While organized national screening policy is awaited, opportunistic screening should be maximized.


Annals of Medical and Health Sciences Research Journal of Basic and Clinical Reproductive Sciences is a peer-reviewed online journal with Semiannual print on demand compilation of issues published.
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