Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational Study

Objectives: The aim was to study the types of gynaecological cancers and their stages at the time when patients first presented at the cancer registry of a major cancer hospital. Methods: This observational study was carried out in a large cancer hospital in Pakistan. We analysed secondary data on n...

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Main Authors: Meharunnissa Khaskheli, Shahla Baloch, Shamsunnissa Khaskheli, Ramsha Zafar Durrani, Naseema Jhatial, Syed Ghulam Sarwar Shah
Format: Article
Language:English
Published: Karger Publishers 2023-10-01
Series:Dubai Medical Journal
Subjects:
Online Access:https://beta.karger.com/Article/FullText/534211
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author Meharunnissa Khaskheli
Shahla Baloch
Shamsunnissa Khaskheli
Ramsha Zafar Durrani
Naseema Jhatial
Syed Ghulam Sarwar Shah
author_facet Meharunnissa Khaskheli
Shahla Baloch
Shamsunnissa Khaskheli
Ramsha Zafar Durrani
Naseema Jhatial
Syed Ghulam Sarwar Shah
author_sort Meharunnissa Khaskheli
collection DOAJ
description Objectives: The aim was to study the types of gynaecological cancers and their stages at the time when patients first presented at the cancer registry of a major cancer hospital. Methods: This observational study was carried out in a large cancer hospital in Pakistan. We analysed secondary data on new cases of gynaecological cancer without age restriction of the patient. Fully anonymised data were obtained retrospectively from the cancer registry for 3 years from 01 January 2018 to 31 December 2020. Data were analysed for frequencies and descriptive statistics using SPSS. Results: A total of 285 new cases of gynaecological cancer were registered in the cancer registry during the study period. The patients had a median age of 52 years (mean 51.3, SD 15.7), and all had no education. Ovarian cancer was the most common gynaecologic cancer (57.9%, n = 165), followed by cervical cancer (25.9%, n = 74), uterine (endometrial) cancer (10.9%, n = 31), vaginal cancer (3.9%, n = 10), and choriocarcinoma (1.4%, n = 4). About 32% of the patients had stage 1 cancer (n = 89), 37.5% had stage 2 cancer (n = 105), 25.7% had stage 3 cancer (n = 72), and 5% had stage 4 cancer (n = 14). Conclusion: Ovarian, cervical, uterine, and vaginal cancers are the most prevalent gynaecological cancers. In Pakistan, women with gynaecological cancers, especially those who are uneducated and live in rural areas, attend tertiary care cancer hospitals with advanced cancers that can have a poor prognosis.
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spelling doaj.art-5e1b2e08ee8e4bb288be0ce52ac113082023-11-23T07:16:29ZengKarger PublishersDubai Medical Journal2571-726X2023-10-016427427910.1159/000534211534211Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational StudyMeharunnissa Khaskheli0Shahla Baloch1Shamsunnissa Khaskheli2Ramsha Zafar Durrani3Naseema Jhatial4Syed Ghulam Sarwar Shah5Department of Obstetrics and Gynaecology, Liaquat University Hospital, Liaquat University of Medical and Health Sciences, Jamshoro, PakistanDepartment of Obstetrics and Gynaecology, Liaquat University Hospital, Liaquat University of Medical and Health Sciences, Jamshoro, PakistanDepartment of Physiology, Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, PakistanDepartment of Obstetrics and Gynaecology, Liaquat University Hospital, Liaquat University of Medical and Health Sciences, Jamshoro, PakistanDepartment of Oncology, Nuclear Institute of Medicine and Radiotherapy (NIMRA) Cancer Hospital, Jamshoro, PakistanNIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UKObjectives: The aim was to study the types of gynaecological cancers and their stages at the time when patients first presented at the cancer registry of a major cancer hospital. Methods: This observational study was carried out in a large cancer hospital in Pakistan. We analysed secondary data on new cases of gynaecological cancer without age restriction of the patient. Fully anonymised data were obtained retrospectively from the cancer registry for 3 years from 01 January 2018 to 31 December 2020. Data were analysed for frequencies and descriptive statistics using SPSS. Results: A total of 285 new cases of gynaecological cancer were registered in the cancer registry during the study period. The patients had a median age of 52 years (mean 51.3, SD 15.7), and all had no education. Ovarian cancer was the most common gynaecologic cancer (57.9%, n = 165), followed by cervical cancer (25.9%, n = 74), uterine (endometrial) cancer (10.9%, n = 31), vaginal cancer (3.9%, n = 10), and choriocarcinoma (1.4%, n = 4). About 32% of the patients had stage 1 cancer (n = 89), 37.5% had stage 2 cancer (n = 105), 25.7% had stage 3 cancer (n = 72), and 5% had stage 4 cancer (n = 14). Conclusion: Ovarian, cervical, uterine, and vaginal cancers are the most prevalent gynaecological cancers. In Pakistan, women with gynaecological cancers, especially those who are uneducated and live in rural areas, attend tertiary care cancer hospitals with advanced cancers that can have a poor prognosis.https://beta.karger.com/Article/FullText/534211gynaecologic oncologycancer in womenfemale reproductive systemmalignant tumourspakistan
spellingShingle Meharunnissa Khaskheli
Shahla Baloch
Shamsunnissa Khaskheli
Ramsha Zafar Durrani
Naseema Jhatial
Syed Ghulam Sarwar Shah
Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational Study
Dubai Medical Journal
gynaecologic oncology
cancer in women
female reproductive system
malignant tumours
pakistan
title Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational Study
title_full Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational Study
title_fullStr Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational Study
title_full_unstemmed Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational Study
title_short Stages of Gynaecological Cancers at the Time of First Presentation at a Large Cancer Hospital in Pakistan: An Observational Study
title_sort stages of gynaecological cancers at the time of first presentation at a large cancer hospital in pakistan an observational study
topic gynaecologic oncology
cancer in women
female reproductive system
malignant tumours
pakistan
url https://beta.karger.com/Article/FullText/534211
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