Mossé B. Wilfried
1.1 Objective: The present study aims to analyze the quality of life of survivors of cervical cancer according to the menopausal status and the treatment modalities at the Institute National Oncology of Rabat.
1.2 Methods: Patients were interviewed with the specific questionnaire to patient with cervical cancer developed by the Organization of the European Commission for research and cancer treatment-Group Quality of life (EORTC QLQ-C30) and the EORTC Quality of Life Questionnaire (QLQ)-CX24andtranslated into Moroccan dialect.
1.3 Results: One hundred thirty-nine patients survivors cancer of the cervix and regularly followed participated in the study. Quality of life was significantly altered in postmenopausal patients in areas such as physical functioning (p=0.016), diarrhea and nausea vomiting (p=0.038), menopausal symptoms (p=0.01) and financial difficulties. Regarding sexual functioning, postmenopausal women reported less activity and sexual pleasure. The irradiated patients presented more symptoms such as diarrhea (p=0.018), lymphedema, and more financial difficulties (p=0.012) than those who did not. Symptoms such as diarrhea (p=0.038), pain (p=0.019) were significantly greater in those who underwent surgery associated with another treatment (irradiation) as well as insomnia, loss of appetite, constipation and financial difficulties (p=0.018). However, there was no significant difference in other areas of quality of life in our survivors of cervical cancer.
1.4 Conclusion: patients treated by several modalities for cervical cancer have an altered quality of life in various fields. However, in long term survivors, overall quality of life remains similar in patients operated and or irradiated. They must be informed by the various possible side effects that may affect the quality of life after treatment.
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