Clinical features of cervical cancer at a national cancer center in Phnom Penh, Cambodia: A descriptive cross-sectional study

Tanaka A, Koun L, Haruyama R, Uy K, Chhit M, Kim L, Fujita N, Osuga Y, Kimura T, Koum K


The clinical features of newly diagnosed cervical cancer in Cambodia are poorly documented. We aimed to describe the histologic type and stage distributions of newly diagnosed cervical cancer patients at the Khmer Soviet Friendship Hospital in Phnom Penh, which is one of the two national cancer centers in Cambodia. A descriptive crosssectional study was conducted using the Gynecologic Test Registry of the gynecology department between January and December 2019. In 2019, 351 women were histologically diagnosed with cervical cancer, representing approximately one-third of the estimated total cases occurring in the country. The mean age at presentation was 54.7 years. The histologic type distribution was largely consistent with other Asian countries, with squamous cell carcinoma accounting for 83.8%, followed by adenocarcinoma (15.4%). Among 309 patients with recorded staging information, 57.6% were advanced-stage cancers (i.e. stage IIB or higher). Raising awareness of early symptoms of cervical cancer, increasing access to cancer diagnosis, and better recording of patients’ clinical information are important to improve cervical cancer management in Cambodia.

KEYWORDS: uterine cervical neoplasms, delayed diagnosis, neoplasms by histologic type, Cambodia

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