GYNECOLOGIC CANCERS IN THE STRUCTURE OF MORBIDITY AND MORTALITY IN UKRAINE

The paper presents a study of morbidity and mortality of the female population of Ukraine resulting from gynecologic cancers. The incidence of malignancies of the reproductive system in women has increased. The study shows that the main trends of morbidity and mortality have age and regional differences. The aim of the study – to determine the main changes in morbidity due to gynecologic cancers in Ukraine and evaluates the state of cancer care structure aimed to female population. Materials and Methods. The study analyzed data from the National Cancer Registry of Ukraine for 2008–2016 using statistical and literature methods. Results and Discussion. The epidemiological study of morbidity and mortality of the female population of Ukraine caused gynecologic malignancies determined that over the past decade significant changes has occurred in the structure of incidence and prevalence of these diseases. The predominate cancer in the overall structure of malignancy incidence is uterine cancer, which is more common than cervical cancer by 34.4 %. Compared to uterine and cervical cancers, ovarian malignant tumors are significantly less in female population of Ukraine. They comprise 4.9 % of all malignancies. However, mortality caused by malignant tumors of the ovaries is significantly higher compared with the mortality of cervical and uterine cancers. Different regions of Ukraine have characteristic differences in morbidity and mortality due to gynecologic cancers. For each specific malignant neoplasm localization there is an increased incidence in a particular age period. For instance, childhood is characterized by malignant tumors of the ovaries. Conclusions. The incidence of malignancies of the reproductive system in women is on the increase. The high ratios of mortality / morbidity in gynecologic cancers require developing new approaches to diagnosis, treatment and prevention of malignant tumors of the female reproductive system. Individuals of working and childbearing age have high level of morbidity and mortality resulting from malignant tumors of the cervix, uterine body, and ovaries. Timely detection of ovarian malignancies during child development requires developing multifaceted approach to oncological awareness