GYNECOLOGICAL MALIGNANCY IN BPKMCH, BHARATPUR: A RETROSPECTIVE ANALYSIS OF 321 CASES

Gynecological Malignancy is the leading cancer in female not only in Nepal but worldwide. A retrospective study of histopathological specimens was conducted in BPKMCH Bharatpur from July 1999 to January 2001, duration of 19 months. Total 321 cases of Gynecological Malignancy were diagnosed in Department of Pathology of BPKMCH. Out of which 272(84.73%) cases of cancer of cervix; 17 cases (5.29%) of cancer of vulva; 14 cases (4.36%) of ovarian cancer, 12 cases (3.73%) of cancer of vagina and 6 cases (1.86%) of endometrial cancer were detected. Cancer of cervix was most common in 40-49 years age group followed by 50-59 years age group. Mean age of the patients with cancer of cervix was 50 years and 10 months; minimum of 29 years and maximum of 76 years. Out of 272 cases of cancer of cervix, 266 (97.79%) were squamous cell carcinoma and rest 6 (2.20%) were adenocarcinoma. Commonest histology in vulva and vagina was squamous cell carcinoma, whereas adenocarcinoma was commonest in endometrium and ovary. The higher incidence of gynecological malignancies particularly carcinoma of cervix was observed in BPKMCH. Key Words: Cancer, Cervix, Vagina, Vulva, Ovary