Aim of the Study: To study the incidence, age at presentation, sites of involvement of various gynaecological cancers, treatment aspects of gynaecological malignancies in a tertiary care hospital. Methodology: Retrospective analysis of gynaecological cancer patients from Department of Gynaecology, Radiotherapy, Medical Oncology at Government Rajaji Hospital, Madurai from January 2017–June 2017. Cases were stratified based on age, stage, histological type and clinical presentation. Results: The total number of cases registered during this study period were 141. Among them cervical malignancy was the commonest at our centre as compared to other gynaecological malignancy. Number of cases of cancer cervix were 86, constituting 61% of the total cases. This is followed by cancer ovary 29.7%, cancer endometrium 4.2%, cancer vulva 3.5%, vault cancer 1.4%, metastatic carcinoma of ovary 2%. Most of the cases were between 45 to 60 years. Advanced stage predominated in all malignancies. Conclusion: Cervical cancer is still the most common gynaecological cancer in the developing world. Targeting younger women for cancer survey is a necessity. Vaccination is the primary prevention. Secondary prevention is by conducting health education and creating awareness about the importance of screening programmes . Early diagnosis and treatment may help to preserve the fertility.

Keywords: Malignancy; Cancer Cervix; Ovarian Cancer.