Radiology and Oncology

Biography

Biography: Ehab Al Rayyan

Abstract

Objective: The aim of our study was to analyze the clinical and pathological characteristics of women who were diagnosed with malignant cervical tumors and managed at King Hussein Medical Centre, Amman, Jordan.

Method: A retrospective study was conducted regarding the patients who were diagnosed with cervical cancer and received treatment at King Hussein medical center. Data were extracted from the patient’s files and reports from the period 2007 to 2017 (over ten years period). The collected data included patient’s characteristics for age, parity, presenting symptoms, marital and menopausal status. Tumor characteristics including the type, size and stage of disease at time of diagnosis. Other data included the types of primary treatment provided and different surgical operations performed. Data was revised, arranged in tables and statically analyzed. Results were extracted and conclusions were made.

Results: One hundred twenty-seven (127) cases of cervical cancer were identified during the studded period. The median age of cases was 52.9 years (range 29-86) years. About 99% of the patients were above the age of 30 years at the time of diagnosis. The majority of the patients are grand multiparous (81%). More than half of the cases are at post-menopausal status (52%). Vaginal bleeding was the most common presenting symptom (86%). Squamous cell carcinoma formed 84% of all types. Chemo-radiotherapy was the most common modality of treatment provided (69%). Early stage disease (Stage I) formed only 9.5% compared to late stage disease (stage II-IV) 90.5%.

Conclusion: Cervical cancer among Jordanian women was most commonly diagnosed at locally advanced stage with no benefit of the surgery leaving the only option for radiotherapy. We recommend the application of more effective screening programs to detect and pre-cancer lesions or malignant lesions at earlier stages.