CYTOLOGICAL DETECTION OF CERVICAL-CANCER IN BLACK-AFRICA - WHAT PERSPECTIVES

The authors report the study of the cytological screening for cervical cancer in Africa on the basis of the experience from four West Africa n countries (ivory Coast, Guinea, Mall and Senegal). The study reveals that in all these countries, the yearly coverage is inferior to one c ervical vaginal cytological screening per 100 M omen of 15 years of ag e and above. This rate (< 1%) is too weak to act on the rate of mortal ity and morbidity of cervical cancer. Consequently, the authors advise like WHO the African authorities to define and to apply cervical canc er screening programs to reach the following goal: carry our one cervi cal vaginal cytology in each woman near the age of 40. Cervicography c an be associated.