Safia Bibi, Saleem Javed, Momi Gul, Fozia Muhammad Bakhsh, Khanda Gul.
Frequency and Pattern of Gynecological Malignancies at Bolan Medical Complex Hospital Quetta.
J Islamic Int Med Coll Jan ;19(1):29-32.

Objective: To determine the pattern and relative frequencies of gynecological malignancies at Bolan Medical Complex Hospital Quetta. Study Design: Retrospective observational study. Place and Duration of Study: Department of Obstetrics and Gynecology Unit-2, Bolan Medical Complex Hospital, Quetta, from 1st January 2017 to 31st December 2021. Materials and Methods: This retrospective study included review of clinical records of all patients presented with gynecological malignancies. The data was collected from ward admission registers, case sheets and operation theater registers. Simple descriptive statistics were used to obtain the results in terms of frequency and percentage. Results: During the study period of five years, there were 154 cases of genital tract malignancies out of 1565 major gynecological operations, giving a frequency of 9.8%. Most common site of malignancy was ovarian (63%), followed by endometrial carcinoma (17.6%), and cervical cancer (12.4%) being on third most common. Ca vulva and choriocarcinoma were 3.2% both and there was only one case of fallopian tube carcinoma (0.6%). The majority of cancers (35.6%) were in 41to 50 age group. Ovarian carcinoma was most common in nullipara and low parity while Ca endometrium and Ca cervix were more common among grand multiparas. Conclusion: The most frequent gynecological cancer was ovarian cancer, which was followed by endometrial and cervical cancer. In most cases of cancer, late presentation with an advanced stage was observed. There is need for public awareness of about the symptoms of ovarian cancer and cervical screening by pap smear. So, early diagnosis can reduce the morbidity and mortality from gynecological cancers in females.

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