Abstract

FERNANDEZ-MERCADO, Róbinson et al. Clinical characteristics and prognosis of patients with cervical cancer treated in three healthcare centres in Barranquilla, Colombia, between 2005 and 2011. Rev Colomb Obstet Ginecol [online]. 2014, vol.65, n.2, pp.120-128. ISSN 0034-7434.  https://doi.org/10.18597/rcog.60.

Objective: To describe the clinical characteristics and the prognosis of patients with cervical cancer treated in three healthcare centres in Barranquilla, Colombia. Materials and methods: Descriptive retrospective cohort study. The databases of the three participating centres where reviewed to identify the cases with a diagnosis of CIE 10: malignant endocervical tumour, malignant exocervical tumour, malignant uterine cervical tumour, and malignant tumours of the uterine isthmus. Patients referred due to tumour relapse were excluded. Death certificates were used to confirm mortality cases. Absolute mortality is described by clinical stage. To establish prognosis, probability of disease-free survival at 1, 3 and 5 years of following was estimated. Results: Overall, 375 patients diagnosed with cervical carcinoma were identified. Of them, 27 were lost to follow-up, for a total of 348 patients assessed. A rate of complications of approximately 19% was found, complications being more frequent among patients receiving radiotherapy (94%) than among those receiving surgical treatment (6%). The 5-year survival probability is 92% and the probability of being disease-free after five years is 89%. Conclusions: Results in terms of complications and survival after treatment were similar to those reported in the literature. More studies and with a better methodological quality are required in order to characterize the prognosis for patients with cervical cancer in our population.

Keywords : Cervical cancer; squamous cell; adenocarcinoma; clinical stage; prognosis.

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