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Expanding Cervical Cancer Screening in Mozambique: Challenges Associated With Diagnosing and Treating Cervical Cancer
Samantha Batman1, Ricardina Rangeiro2, Eliane Monteiro3
1The University of Texas MD Anderson Cancer Center, Houston, TX.
JCO Global Oncology
|October 12, 2023
Summary
Mozambique
Area of Science:
- Oncology
- Public Health
- Gynecology
Background:
- Mozambique faces a high global burden of cervical cancer.
- Limited resources and healthcare professionals hinder effective treatment for advanced disease.
Purpose of the Study:
- To describe outcomes for women diagnosed with invasive cervical cancer.
- To evaluate cervical cancer screening via human papillomavirus (HPV) testing integrated with family planning services.
Main Methods:
- Prospective enrollment of 30-49 year old women in the MULHER study.
- Primary HPV testing followed by treatment for screen-positive cases (thermal ablation/excision).
- Referral of suspicious cases to gynecologic oncologists.
Main Results:
- 30 of 9,014 women diagnosed with cervical cancer (2020-2023).
- Majority presented with locally advanced (60%) or unstaged (23.3%) disease.
- Significant treatment delays and mortality observed; only 18 patients received oncologic treatment.
Conclusions:
- Cervical screening in low-resource settings may increase invasive cancer diagnoses.
- Urgent need to enhance access to advanced surgery, radiation, and palliative care in Mozambique.
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