Abstract

ACKGROUND:
Cervical cancer is the most common gynecologic cancer in women in the world, most arise from
infection with human papiloma virus. Other host factors also affect the neoplastic progression
following initial infection.
OBJECTIVE:
To determine characteristics of Iraqi women with carcinoma of the uterine cervix during the last 11
years in Iraq.
METHODS:
Retrospective study; done on records in Radiotherapy and Nuclear Medicine Hospital- Baghdad;
488 cases of cervical carcinoma referred for chemotherapy and or radiotherapy , from 1999 to
2009.Clinical and pathological data were reviewed and analyzed.
RESULTS:
The data that was obtained from the radiotherapy and nuclear medicine hospital showed that the
women with cervical carcinoma constitute only 2.1% of total women with malignancies during
1999-2009. Highest ;were in 2003 and 2004. Largest proportion presented in late stage
(62.32%)and only 37.67% with early stage. Squamous cell carcinoma counted 98.38 % and only
1.62% were adenocarcinoma . Median and mean age was 45-50. Median parity between 4 and 6.
Majority of patients from Baghdad (43.02%) , Basra (10.93%)and lowest percentage from North;
been collectively (10.46%).Only 6.55% had positive family history. (53.72%) with history of
smoking; significantly associated with late stage. Most common clinical presentation was vaginal
bleeding( 65.81%).The most common stage at time of presentation was stage II (36.51%). Most of
referred patients had surgical interventions as total abdominal hysterectomy with bilateral salpingooophorectomy(sub
optimal
surgery)
60.93%.

CONCLUSION:

Most
patients
with

carcinoma of cervix in Iraq presented in late stage due to absence of screening
program