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THE EFFECTS OF SCHISTOSOMIASIS ON THE CERVIX UTERI IN THE AFRICAN FEMALE
Author(s) -
Bland K. G.,
Gelfand M.
Publication year - 1970
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1970.tb03477.x
Subject(s) - schistosomiasis , cervix , cervicitis , medicine , gynecology , cervical cancer , carcinoma , biopsy , cervical carcinoma , vaginal bleeding , cancer , pregnancy , biology , immunology , helminths , genetics
Summary In a prospective study of 55 African patients in whom the cervix uteri was removed and examined, 12 showed definite evidence of bilharziasis and 9 of these had evidence of bilharziasis elsewhere on routine screening. The 12 patients who had bilharzial cervicitis were clinically analyzed in detail. Only rarely does cervical bilharziasis simulate cervical carcinoma, but it may give rise to suspicious abnormal vaginal bleeding. The need for careful biopsy of all suspicious cervical lesions in endemic areas is emphasized, and the value of anti‐bilharzial treatment in proven cases, is stressed. In our experience, based on a series of 18 consecutive cases of cervical carcinoma, there is no correlation with cervical bilharziasis.