Demographic characteristics and the clinical profile of Vulvar cancer patients treated at Tikur Anbessa Specialized Hospital, a five years retrospective study 

Authors

  • Esayas Berhanu Enoro Addis Ababa University, College of Health Science
  • Carolyn M. Johnston Department of Obstetrics and Gynecology, University of Michigan, USA

Keywords:

Key words: Cancer, vulva cancer, demographic aspect, clinical profile, HIV

Abstract

Abstract

Background: Vulvar cancer is a rare disease that occurs most often in older women; however, this is not reflected in clinical practice at Tikur Anbessa Hospital (TAH). Overall there is limited information regarding vulvar cancer in Ethiopia.

Aim: The aim of this study was to describe demographic characteristics and the clinical profile of Vulvar Cancer patients treated at Tikur Anbessa Specialized Hospital.

Methods: This is a retrospective study. Data on primary vulvar cancer patients managed between August 30 2012 and August 30 2017 were gathered from patients’ chart and analyzed.

ResultsThe median/mean age was 39/43.17 ranging from 22 to 85 years. The patients presented with more than one symptom. The mean duration of the symptoms was about 2 years. Labium majus(91.5%), labium minus (89%) were mainly affected. In most (79.7%) patients the disease was locally advanced. Sixty six percent of the cases were positive for HIV. The mean/ median duration of HIV infection was 72.14/72 months. All of them were taking HAART. The majority (32.2%) were treated with chemo-radiation followed by surgery alone (16.9%). A Surgical procedure was done for 22 patients. Few patients developed complications.

Conclusion: Vulvar cancer in Ethiopia appears to be a burden of mainly the young and HIV positive patients. Most present in late stage of the disease despite visiting a health care facility for HIV care/HAART and long standing symptoms. Delivering education about vulvar cancer to Patients, particularly HIV positive ones, and health care providers may ameliorate the disease burden in Ethiopia.

 

Author Biography

Carolyn M. Johnston, Department of Obstetrics and Gynecology, University of Michigan, USA

MD Clinical Professor Emeritus of Obstetrics and Gyenecology and Gynecological oncology

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Published

2021-09-24

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