5027 POSTER Physician-assessed toxicity rating versus patient self-reporting in cervical cancer survivors treated with radiotherapy at Rikshospitalet-Radiumhospitalet Medical Center (RRMC)

Many cervical cancer survivors experience late adverse effects, and rehabilitation may alleviate symptoms. This study describes participants’ experiences with late adverse effects in daily living and with experiences of perceived rehabilitation in hospital, municipal, and a residential setting. Twenty-one cervical cancer survivors aged 40-72 years, curatively treated with concomitant radio-chemotherapy, with moderate/severe incontinence and sexual problems, participated in a 5-day residential rehabilitation intervention. Three focus group interviews were conducted and analyzed. Late adverse effects like incontinence, sexual problems, tinnitus and pain severely restricted everyday life. The participants described rehabilitation in hospital settings as fragmented, but several of the participants benefitted from the physical rehabilitation in municipal settings; however, no participants were offered sexual rehabilitation. In the residential setting, they gained a sense of connectedness and confidence in association with peers. More time to reflect and the anonymity gave opportunity to work with sensitive issues e.g. sexuality. Increased knowledge about late adverse effects and tools to alleviate these made the participants prepared to regain command of their lives. In conclusion, incontinence and tinnitus had especially impact on social life and every day activities. The participants benefitted especially from rehabilitation in two settings (municipal and residential). Intensively psychosocial interventions allowed participants to work with underlying problems. Women with sexual and/or incontinence problems favored the residential rehabilitation due to anonymity.

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Impact of an Educational Program on Sexual Issues among Cervical Cancer Survivors' Women in Northern Upper Egypt

Obstetrics Gynecology and Reproductive Sciences ◽

10.31579/2578-8965/095 ◽

2021 ◽

Vol 5 (1) ◽

pp. 01-15

Author(s):

Hanan Elzeblawy Hassan ◽

Ragaa Mohammed ◽

Soad Ramadan ◽

Hagar Masaud

Keyword(s):

Cervical Cancer ◽

Sexual Dysfunction ◽

Sexual Function ◽

Cancer Survivors ◽

Educational Program ◽

Gynecological Cancer ◽

Upper Egypt ◽

Sexual Distress ◽

Distress Scale ◽

The Impact

Background: Sexuality is an important part of normal human functioning. Gynecological cancer and its treatments can affect one or more phases of the sexual response cycle, through alterations of sexual function. Sexual dysfunction is one of the most distressful symptoms among cervical cancer survivors. Sexual distress is a broad term encompassing any sexual discomfort and dysfunction. Sexual difficulties following cervical cancer can be stressful for couples as it can feel like a core part of the relationship has disappeared. Aim: The study is conducted to evaluate the impact of an educational program on sexual issues (sexual dysfunction & sexual distress) among cervical cancer survivors' women in Northern Upper Egypt. Methods; Design: A quasi-experimental design. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: structured interviewing questionnaire sheet, female sexual function index, and female sexual distress scale. Results: The results of the study revealed regression of all items of women’s sexual distress scores, and progression of all items of women’s sexual items post-program compared to pre-one. Conclusion: The teaching program was very effective in improving sexuality among cervical cancer survivors' women. Recommendations: Disseminate the educational booklet at health centers and oncology outpatients. Integrate psychologist, psychosexual specialist, and social worker in treatment and counseling program for women with cervical cancer in the early stage of their treatment.

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Patterns of Family Support in Cervical Cancer Survivors with High Resilience

International Journal of Innovative Technology and Exploring Engineering - Special Issue ◽

10.35940/ijitee.a4572.119119 ◽

2019 ◽

Vol 9 (1) ◽

pp. 1604-1606

Keyword(s):

Cervical Cancer ◽

Qualitative Methods ◽

Cancer Survivors ◽

Family Support ◽

Research Design ◽

Emotional Support ◽

Design Data ◽

Research Results ◽

Descriptive Research ◽

Resilience Scale

This study is aimed to explore the patterns of family support in cervical cancer survivors. This study is focused on explaining the kinds of patterns of family support received by cervical cancer survivors who had experienced high-resilience. It implements qualitative methods with descriptive research design. Data is collected by screening using resilience scale and interview. The analysed data include interview results obtained from cervical cancer survivors who had experienced high resilience. Research results showed that high resilience among the three cervical cancer survivors is related to family support. The patterns of family support received by the three participants include closeness, receptors, and durability. The three participants also received at least three out of four patterns of family supports concrete support, emotional support, informative support, and award support. Types of support most needed by the three participants are concrete support and emotional support.

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An overview of radiological manifestations of acquired dental developmental disturbances in paediatric head and neck cancer survivors

Dentomaxillofacial Radiology ◽

10.1259/dmfr.20190275 ◽

2020 ◽

Vol 49 (3) ◽

pp. 20190275

Author(s):

Reinier C. Hoogeveen ◽

Marinka L.F. Hol ◽

Bradley R. Pieters ◽

Brian V. Balgobind ◽

Erwin W.E.R. Berkhout ◽

...

Keyword(s):

Radiation Therapy ◽

Cancer Survivors ◽

Head And Neck ◽

Developmental Disorders ◽

Medical Center ◽

Academic Medical Center ◽

Future Research ◽

Dental Development ◽

Radiographic Findings ◽

Anterior Teeth

Objectives: In paediatric cancer survivors treated with chemotherapy and radiotherapy therapy, late effects on dental development are quite common. Oral radiologists are not familiar with the radiographic images of these specific dental consequences of chemotherapy and radiotherapy. With the goal of educating colleagues, to raise awareness of the needs of survivors, and to identify directions for future research, we present dental radiographs of survivors treated for head and neck rhabdomyosarcoma with chemotherapy and radiotherapy. Also, based on the survivors reviewed, a radiographic inventory of commonly found late dental developmental effects seen in conjunction with treatment is presented. Methods: Panoramic radiographic findings of five illustrative cases are presented, from a group of 42 survivors of head and neck rhabdomyosarcoma treated at the Academic Medical Center Amsterdam, The Netherlands over the past 25 years. Results: Five cases showing dental developmental disorders are presented. These cases show an association of the location of the radiation field and the developmental stage of the teeth with the severity of the effect on dental development. We also report an inventory of severe and moderate effects of chemotherapy and radiotherapy on the development of molars and anterior teeth. Conclusions: This paper presents five cases and a radiographic inventory to illustrate disturbances of dental development associated with chemotherapy and radiotherapy in children. Medical and dental professionals involved in the treatment of cancer survivors are relatively unaware of the dental consequences of radiation therapy and the age dependency of specific regional effects. These effects can be severe, with great impact on quality of life. Further research in this area could help improve planning of radiation therapy for children, potentially preventing or limiting dental or maxillofacial sequelae.

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Implementation of Multicolor Melt Curve Analysis for High-Risk Human Papilloma Virus Detection in Low- and Middle-Income Countries: A Pilot Study for Expanded Cervical Cancer Screening in Honduras

Journal of Global Oncology ◽

10.1200/jgo.17.00035 ◽

2018 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Scott A. Turner ◽

Sophie J. Deharvengt ◽

Kathleen Doyle Lyons ◽

Jorge Arturo Plata Espinal ◽

Ethan P.M. LaRochelle ◽

...

Keyword(s):

Cervical Cancer ◽

High Risk ◽

Medical Center ◽

Virus Detection ◽

The United States ◽

Middle Income ◽

Rural Village ◽

Middle Income Countries ◽

Dartmouth Hitchcock Medical ◽

Low And Middle Income

Purpose Cervical cancer is a leading cause of cancer-related mortality in low- and middle-income countries (LMICs) and screening in LMICs is extremely limited. We aimed to implement on-site high-risk human papillomavirus (hrHPV) DNA testing in cohorts of women from an urban factory and from a rural village. Methods A total of 802 women were recruited for this study in partnership with La Liga Contra el Cancer through the establishment of women’s health resource fairs at two locations in Honduras: a textile factory (n = 401) in the city of San Pedro Sula and the rural village of El Rosario (n = 401) in Yoro. Participants received a routine cervical examination during which three sterile cytobrushes were used to collect cervical samples for testing. hrHPV genotyping was performed using a hrHPV genotyping assay and a real-time polymerase chain reaction instrument. Results hrHPV status across all participants at both sites was 13% hrHPV positive and 67% hrHPV negative. When hrHPV status was compared across all three testing sites, hrHPV-positive rates were approximately equal among the factory (13%), village (12%), and confirmatory testing at Dartmouth-Hitchcock Medical Center (Lebanon, NH; 14%). hrHPV genotype was compared across sites, with HPV16 showing the highest infection rate (15%), followed by HPV59 (12%), and HPV68 (11%). There was a low prevalence of HPV18 observed in both populations compared with the hrHPV-positive population in the United States. Conclusion In collaboration with oncologists and pathologists from La Liga Contra el Cancer, we were able to provide a continuum of care once health-fair testing was performed. We established a method and implementation plan for hrHPV testing that is sustainable in LMICs.

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