[Management of cervical cancers in Yaounde. 111 cases]

Over a 3-year period, 111 patients presenting histologically documented cervical carcinoma were treated in the Department of Cancerology and Radiotherapy at the General Hospital in Yaounde, Cameroon. Available therapeutic modalities included surgery and radiation therapy with a mean energy of 1.25 Mev of cobalt 60 which were used alone or in combination. Therapeutic strategies had to be adapted to these poor facilities based on poor pretreatment assessment of involvement. Thirty-two patients were not treated using both surgery and radiation therapy due to either insufficient financial resources or advanced disease. Seventy-nine patients were treated with both surgery and radiation therapy in various combinations depending on initial disease stage. The low quality of results was directly related to poor pretreatment assessment of extent and the unavailability of endobrachytherapy.