[The frequency of female genital cancer at Gynecological Department in Cantonal Hospital Zenica--before, during and postwar time in Bosnia-Herzegovina].
This targeted, retrospective, descriptive, controlled and open study comprises the last decade of the 20th Century and all histologically verified malign tumours at the Cantonal Hospital Zenica. By analysing pathohistological findings, 865 malign genital tumours were found; where the most numerous were cervical maligns (70.06%), then corporal (17.34%), ovarian (10.40%), vulvae 1.16%, vaginal 0.69% and tubal 0.35%. Malign frequency curve shows continual decrease till the war year 1993 and continual increase from that period till 2000. The most frequent type of malign tumour is carcinoma with the frequency of over 98% (70.06% carcinoma planocellulare, 27.86 adenocarcinoma), while recently literature shows a bit over 90% of frequency. More than 3/4 of all malign genital tumours were discovered in nullity and first clinical stages. Results show that approximately 9/10 of all malign processes in female genital tract occurred at uterus. The most frequent are malign tumours that are histologically best differentiated, while the least frequent are those that are insufficiently differentiated. Malign diseases, due to cervical cancer, which encumbers more than half of the cases, mostly afflict age group of 35-49, while the age group 50-64 is mostly afflicted by corporal and ovarian malign tumours. Comparing the year 1991 with 1993, 1995, 1997 and 1999, no statistically significant difference was found occurrence of menarha at women who have cervical, corporal and ovarian malign tumours (p>0.05).