| Popis: |
Cervical cancer is the second most common cancer in women. In Morocco, it is the second leading cause of cancer death in the female population, usually due to late diagnosis. It is a pathology for which the diagnostic means are nowadays developed, ranging from early detection to the demonstration of infra-clinical lesions, which has clearly improved the prognosis in developed countries.This work aims to identify the factors influencing the time between the first symptom, the time to diagnosis and the end of treatment for locally advanced cervical cancer in our daily practice A retrospective study of 675 files of patients with locally advanced cervical cancer treated in the radiotherapy department of CHU Hassan II in Fez. A questionnaire was developed and duly completed using patient records. Thus, the average consultation time of 184.8 days with spontaneous and provoked menometrorrhagia as the reason for consultation in 87.40% of cases. The mean time to diagnosis was 14.6 days, the mean time to start treatment was 48 days, and the overall mean time was 319.2 days. Regarding the factors identified to justify the long diagnostic delay, the interview revealed the lack of financial means 40.5%, the distance from health structures in 30%, the comorbidities 10%, the inadequacy of treatment load 3% and diagnostic errors 2%. Regarding these factors taken individually, Patients who lived in remote areas and Subjects with comorbidities whose general condition was altered consulted later with (p = 0.039), (p = 0.027). The speed of treatment is an important dimension for patients with cervical cancer. Efforts remain to be made to improve access to care in our context. |
