Retrospective analysis of patients with cancer of the cervix attending a radiotherapy outpatient department: experience from a university-based hospital in eastern Uttar Pradesh, India

  • Moujhuri Nandi Apollo Gleneagles Cancer Hospital
  • Abhijit Mandal Banaras Hindu University
  • Anupam Asthana Banaras Hindu University
Keywords: cancer of the cervix, retrospective analysis, epidemiology, radiotherapy, chemotherapy, toxicity, response rates

Abstract

Objective: A retrospective analysis of all patients with cancer of the cervix attending a radiotherapy outpatients department in a single unit from January 2005 to December 2006 was carried out to study their epidemiology, stage and status of presentation, compliance with treatment and follow-up, as well as response and complication rates. Design: This was a retrospective study. Setting and subjects: Four hundred and ninety-five consecutively registered patients with cancer of the cervix were included in the study, which was carried out between January 2007 and December 2008. Outcome measures: The epidemiology, stage and status of presentation, compliance with treatment and follow-up, as well as the response and complication rates of the treated patients were the outcome measures. Results: Most of the patients hailed from the various districts of Uttar Pradesh (58%) and Bihar (32%), India. The majority (> 50%) were aged 40-59 years. Stage information was available for 70% of the patients, of which stage 1 comprised 5%, stage 2, 36%; stage 3, 56%; and stage 4, 3%. Squamous cell carcinoma was the most common reported histopathology (~90%). A significant proportion of the women defaulted after registration, or after undergoing investigations (34%). Of the 65% cases planned for treatment, 50% initiated it, but only 35% completed it, according to protocol. Radical radiotherapy was planned for the majority of women (>90%) with or without chemotherapy. Compliance with follow-up was poor (26%). At the time of the analysis, 63% patients had a complete response, 12% residual disease, 16% progressive disease and 7% locoregional recurrence. Recorded late complications were mostly grade I and II bladder and rectal toxicity. Conclusion: The outcome of this study will significantly help us to define region-specific strategies needed for the management of cervical cancer in eastern Uttar Pradesh, India.

Author Biographies

Moujhuri Nandi, Apollo Gleneagles Cancer Hospital
MBBS, MD Junior Consultant Department of Radiation Oncology Apollo Gleneagles Cancer Hospital Kolkata India
Abhijit Mandal, Banaras Hindu University
MSc (Phy), DipRP, PhD Department of Radiotherapy and Radiation Medicine Institute of Medical Sciences Banaras Hindu University Uttar Pradesh India
Anupam Asthana, Banaras Hindu University
MBBS, MD (Radiotherapy) Professor Department of Radiotherapy & Radiation Medicine Institute of Medical Sciences Banaras Hindu University Uttar Pradesh India
Published
2015-03-13
Section
Original Research