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REVIEW ARTICLE
Year : 2018  |  Volume : 4  |  Issue : 1  |  Page : 11-14

Challenges to reduce cervical cancer in Bihar: A review


Department of Gynecological Oncology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India

Correspondence Address:
Sangeeta Pankaj
Additional Professor, Gynecological Oncology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar
India
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Source of Support: None, Conflict of Interest: None


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Cervical cancer has a major impact on the lives of Indian women with an estimated 1,22,844 new cases diagnosed and out of them 67,477 die from disease every year. Incidence of cervical cancer in Bihar is very high. Locally advanced cervical cancer is commonly seen because of the high prevalence of associated risk factors like low socioeconomic states, poor access to health care, high parity, early age of marriage and first pregnancy, persistence of genital infection specially HPV, low immune status, poor genital hygiene and nutritional status. Besides, there is lack of organized screening programme and treatment facilities for these patients in Bihar. Increasing awareness about early signs and symptoms especially among the rural population, widespread use of HPV vaccination and simple screening techniques like visual inspection with acetic acid is urgently required to control the rising number of cervical cancer cases in the state of Bihar. A tremendous boost is also required in the availability of gynaecological oncology and radiotherapy units, other infrastructure and trained personnel in the field of oncology.


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