Gynaecological malignancies in a rural institute in India

Abstract

A rural institutional study was carried out with the object of recording the number and type of gynaecological malignancies in relation to socio-economic status, age, parity, contraceptive use and mode of presentation in current gynaecological practice. Between 1985 and 1999 gynaecological malignancies comprised 42.52% of all malignancies in women. Cancer of the cervix (33.3%) and breast (27.3%), constituted 60.6% of all cancers in women. Cervical cancer (80%) and ovarian cancer (15%) were the main gynaecological tumours. Endometrial cancer was found only in 2.0% of all female genital malignancies; 76.5% women were from villages. Seventy-two per cent of women with gynaecological malignancies were from a lower socio-economic class. Nearly half (44.6%) of the overall cases occurred between ages of 35 and 49 years. Most women, irrespective of the site of cancer, were multiparous. Sterilisation had been the main birth control method used. Other methods of contraception had hardly been used and hence had no relevance to the incidence of cancers. Over the years the number of gynaecological cancers is increasing, irrespective of social class, with more cases at younger age.

The pattern of gynecological malignancies in 968 cases from Pakistan

“…The same or lower frequency is reported in other observations. 3 – 5 Adenocarcinoma is the main histological type reported in all series. Tumors of the vagina and vulva showed a predictable age distribution and histological pattern in this series.…”

“…6 – 9 In our analysis, cervical cancer made up 23.9%, whereas in an Indian study it comprised up to 80%. 3 Low rates are observed in China, in western Asia and most of the Muslim countries, including Saudi Arabia. 1 , 16 In a study of the cancer profile at the Riyadh Armed Forces Hospital, male circumcision and a high level of genital hygiene in the Saudi population was though to be one of the possible reasons for the low incidence of cervical cancer.…”

“…1 In African and Indian studies as well, it is cervical cancer that is the most frequent of gynaecological malignancies. 3 , 4 , 5 In most studies from Pakistan, 6 , 7 , 8 cervical cancer is not the top gynaecological malignancy; ovarian tumors are more frequent. In the previous tumour registry data analysis from our institute ovarian tumors were also more frequent than cervical cancer.…”

Histopathological Pattern of Gynecological Malignancies at Tribhuvan University Teaching Hospital, Nepal: A 3 years Study

“…Over the years, the number of gynecological malignancies is increasing for which the factors like increased life expectancy and changing dietary practice and environmental risks are thought to be responsible. 5 Nepal lacks documentation regarding the histopathological diagnosis and stage of presentation thus generation of accurate data on cancer and setting up of preventing programs for early detection of cancer is a necessity. This study will have a major role in providing awareness, promoting early detection, and referral of suspected cases for appropriate management.…”

The accuracy of integrated [ 18 F] fluorodeoxyglucose-positron emission tomography/computed tomography in detection of pelvic and para-aortic nodal metastasis in patients with high risk endometrial cancer

“…[ 1 ] It is the third most common gynecological malignancy in India with recent reports showing a gradual increase in incidence owing to the changing lifestyles. [ 2 3 ]…”