PROPORTION AND RELATIVE FREQUENCY OF DIFFERENT TYPES OF GYNECOLOGIC CANCERS AT HIWOT FANA SPECIALIZED UNIVERSITY HOSPITAL, EASTERN ETHIOPIA.

Abstract

Background: Gynecologic cancer are among the common malignancy in women worldwide with high morbidity, disabilities and deaths in developing countries. Overall, there is no available information on the burdens, distributions, patterns, trendsand influencing factors among gynecologic oncology patients attending specialized healthcare in eastern Ethiopia in general and the study setting in particular. Objective:Assessment of proportion andrelative frequencyof different types of gynecologic cancers at Hiwot Fana Specialized University Hospital, eastern Ethiopia from 01 July 2021 to August 30, 2023. Data collected from December4 to7 , 2023. Method: Institutional based retrospective cross sectional chart review study was conducted after retrieval of medical record of 243 out of 286 patientsdiagnosed with gynecologic malignancy.Total number of cancer cases and number of female cancer patients over the study period were collected from registry at oncology treatment center, gynecology oncology clinic and 10 operation theatre registration bookand proportion of gynecological cancers was calculated. By using structured checklist information about sociodemographic information, reproductive and gyneclologic information, and medical and clinical information of patient with gynecological cancer was collectedand data was entered and analyzed using SPSS version 25. Descriptive statistics were conducted to characterize percentage and relative frequency distribution of different gynecologic cancers at Hiwot Fana Hospital. Result:From 1270 cancer cases diagnosed over two years of study period, 66.7%(850) are female.The number of gynaecologic cancer cases seen over the study period were 286, accounting for 33.64 % of female cancer cases and 22.52% of total oncology cases. The mean age of gynecological cancer patients were 50.9 ± 12.73(range 18 to 80) years. The highest number of cancer were diagnosed between the age of 51 to 60 years. Majority of the patients came from Oromia (39.1%) followed by Dire Dawa (25.1%). Cervical cancer accounted 44.4% of GCs, followed by ovarian cancer(34.6%% of cases). Uterine cancers is third making 13.2%%. The least frequent is vulvar cancer making 7.4% of gynaecological cancers Concussion: Gynecologic cancers make significant proportion of cancers in female at HFSUH and cervical cancer is the leading types of gynecologic malignancy.Approximately 80% of cancers were at advanced stage during presentation. Majority of patients were from Oromia.