Audit of gynaecological cancers Queen Elizabeth Central Hospital, Blantyre.

The aim of the audit was to assess the trend of the gynaecological cancers for the first quarter of 2008, and the prevalence of HIV and syphilis among the cases. Gynaecological cancer cases accounted for 6% of gynaecological admissions at QECH between January and April 2008. The findings show that cervical cancer still remains the leading gynaecological cancer among women in the unit. Among the cases where HIV testing was done, 50% of cases tested HIV positive and these were all cervical, vaginal and vulval cancer cases. Syphilis was prevalent in 10% of the cases. Low socioeconomic status and young age was associated with cervical cancer. A majority of the cases of advanced cervical cancer had been sub optimally managed by health workers at initial visit when the disease was at its early stage hence missing an opportunity for adequate treatment.