title: A heartrending burden of gynaecological cancers in advance stage at nuclear institute of medicine and radiotherapy Jamshoro Sindh.
abstract: OBJECTIVE
  In Pakistan gynaecological cancers are among the leading causes of women's morbidity and mortality posing huge financial burden on families, communities and state. Due to lack of national cancer registry exact facts and figures are unknown therefore this study was planned to find out prevalence, age, site and stage of presentation of gynaecological cancers at Nuclear Institute of Medicine and Radiotherapy (NIMRA), Jamshoro.
  
  
  METHODS
  A retrospective, cross sectional study was conducted from 1(st) January 2011 to 31(st) December 2011 at NIMRA Jamshoro. All cases of genital tract cancers were evaluated, required data was entered on predesigned performa and results were analyzed manually.
  
  
  RESULTS
  Out of 2401 total registered cancer cases, 231 (9.6%) patients were suffering from gynaecological cancer making it third most common cancer. Ovary was commonest site followed by cervix and uterus. More than 60% cases presented in advanced stage, mostly during 4(th) and 5(th) decade of life.
  
  
  CONCLUSIONS
  Gynecological cancer was among top three cancers at one of the busiest public sector cancer institute in Sindh province and significant number presented in advance stage making treatment difficult and expensive. There is urgent need for development and implementation of an effective health policy regarding cancer prevention and treatment.
authors.affiliation: Dr. Seema Bibi, MBBS, FCPS, Associate Professor, Department of Obstetrics & Gynaecology, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Seema
authors.initials: S
authors.lastname: Bibi
authors.affiliation: Dr. Sanober Ashfaque, MBBS, DGO, MS, Senior Registrar, Department of Obstetrics & Gynaecology, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
authors.forename: Sanober
authors.initials: S
authors.lastname: Ashfaque
authors.affiliation: Dr. Naeem Ahmed Laghari, MBBS, MCPS, DMRT, Director, Nuclear Institute of Medicine & Radiotherapy, Jamshoro, Sindh, Pakistan.
authors.forename: Naeem Ahmed
authors.initials: NA
authors.lastname: Laghari
keywords: Advance stage; Gynaecological cancer