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Master Thesis

État des lieux du cancer du col de l'utérus à La Réunion : les femmes touchées réunionnaises sont-elles plus jeunes que les femmes métropolitaines ?

Abstract : Introduction: Less than 50% of high grade intra-epithelial lesion develops into invasive cervical cancer. The Reunion’s incidence rate in 2004 was 13.9 against 6,7/100 000 women in France in 2012. The island’s mortality was 4.7 against 2.1/100 000 women in 2007 in the hexagon. In 2012, the peak of incidence of the disease was located at the age of 40 years old in France. Objectives: Update data on the incidence rate of uterine cervical cancer in Reunion and compare it with the national data. Using scientific publications, discuss the observed difference. Determine if the age of the incidence peak of cervical cancer is significantly lower in Reunion than in France. Methods: Medical data of 209 patients have been collected retrospectively from five establishments (public/private) and two anatomo-cytopathology laboratories in Reunion. Patients who had an in situ or an invasive lesion from January 2010 to December 2012 have been included. Results: In 2012, the Reunion’s incidence rate for invasive cervical lesions was 10,8/100 000 women (IC 95% [9,2-12,4]). The median and average ages of diagnosis were respectively 50 and 53 with an age of incidence peak esteemed at 40. Conclusion: Between 2004 and 2012, there is a reduction of new cases of cervical cancer in Reunion. But, even if the difference compared to the Hexagon is decreasing, it is still significant. The age of diagnosis compared to France is not lower. The number of cases among women under 35 on the island has not increased between 2004 and 2012. At the moment, no argument can call into question the age for first cervical screening in Reunion.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01200825
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Submitted on : Thursday, September 17, 2015 - 11:52:39 AM
Last modification on : Wednesday, August 23, 2017 - 4:28:55 PM
Long-term archiving on: : Tuesday, December 29, 2015 - 7:43:45 AM

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Amina Sanogo. État des lieux du cancer du col de l'utérus à La Réunion : les femmes touchées réunionnaises sont-elles plus jeunes que les femmes métropolitaines ?. Médecine humaine et pathologie. 2015. ⟨dumas-01200825⟩

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