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National scenario of cervical cancer in Nepal

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Author: 
Krishna Prasad Subedi, Binuma Shrestha, Hem Nath Subedi, Soma Kanta Baral, Prativa Neupane, Rajani Malla, Pradip Tiwari, Indra Prasad Poudel, Kedar Baral and Khem Bahadur Karki
Page No: 
272-276

Cervical cancer is a type of cancer that occurs in the cells of the cervix. It is a common cancer and leading cause of mortality in Nepalese women. The trend of cervical cancer is useful to policymaker for effective planning to reduce its burden in community. This study aims to determine the national scenario of cervical cancer for 2015 and its trend 2003 – 2015 in Nepal. This was a retrospective study with secondary data analysis of new cervical cancer registered in hospital based national cancer registry programme conducted by B.P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal. In the year of 2015, net 868 new cases of cervical cancer were registered out of 5235 female cancer cases in national cancer registry system. Far the purposed, a large no of cases reported from BP Koirala Memorial Cancer Hospital fallowed by Bhaktapur Cancer Hospital and Paropakar Maternity and Women Hospital. Most of the cases were reported from Kathmandu. Age group of 50-54 years was most prevalent for cervical cancer. Maximum of patients were married, Hindus, illiterate and housework related occupation. Biopsy/ histology was most valid basis of diagnosis. As per data base net 669 (77.0 %) patients were received treatment out of 868. curative type of maximum of patients were received curative types of treatment. Whereas, radiotherapy & chemotherapy was first choice of treatment. Regarding the status of last contact, most of the patients were getting result of partial remission. The trend of cervical cancer was seen to be fluctuating yearly during 2003 to 2015.Well organized awareness activities, HPV vaccination and screening programme was recommended to prevent and control the cervical cancer burden in Nepal.

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