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Though rare, peripartum hysterectomy in the nulliparous patients carries high maternal morbidity and perinatal mortality.

Cervical cancer is a major cause of cancer related mortality in the developing countries, although preventable. The aim of this study was to use a retrospective descriptive study to determine the prevalence and the clinico-pathological characteristics of cervical cancer among genital tract ma-lignancies. This study reviewed all histologically confirmed female genital tract malignancies for cervical cancers from January 2002 to December 2011. The clinico-pathological features of women with cervical cancer were analyzed using SPSS software (version 18). A total of 1011(70.8%) out of 1,427 female genital tract malignancies were cervical cancers. The average prevalence of cervical cancer was 71.0%. The mean age of women with cervical cancer was 57.8(SD=13.8) years. The youngest patient was 22 years. The commonest (76.9%) presentation was bleeding per vaginalm followed by fungating cervical masses (12.4%). Majority (88.9%) of the bleeding were unprovoked and in postmenopausal women (98.8%). The major types of cervical cancers were Squamous cell carcinoma (SCC) (90.1%) and adenocarcinoma (5.8%), both were common in the elderly. The com-mon histological subtypes of cervical cancers in the study were; keratinizing SCC (73.3%), non-keratinizing SCC (14.7%), endometroid adenocarcinoma (4.5%), adenosquamous carcinoma (2.6%) and basaloid SCC (1.4%). This study found high prevalence of cervical cancer among female geni-tal tract cancers in Accra Ghana. The women were relatively older and presented with advanced stage of the disease. SCC was the major histological type of cervical cancer.Keywords: Ghana, cervical cancer, postmenopausal, women, premalignant, genital tract

Background: Dysmenorrhoea is a common problem among the adolescent but it is unclear the extent to which adolescent girls in Ghana are incapacitated each month due to the severity of dysmenorrhoea.Objective: The objective of this study was to determine the prevalence and severity of dysmenorrhoea in adolescent girls and its effect on class attendance.Setting: St Mary’s Senior Secondary School, AccraMethodology: Cross-sectional descriptive study using selfadministered questionnaireResults: The prevalence of dysmenorrhoea in 453 adolescent girls in this study was 74.4% (CI 95%, 72.5%-76.3%). Primary dysmenorrhoea is usually the type of dysmenorrhoea suffered by adolescent girls, a characteristic age group 14-19 years of respondents in the study. The percentage distribution for the various degrees of severity of dysmenorrhoea in 453 adolescent girls was 18.1%, 37.5%, and 18.8% for mild, moderate and severe dysmenorrhoea respectively. About 9.5% of respondents with dysmenorrhoea had absented themselves from class at some time. Among those who had severe dysmenorrhoea, 35.3% had absented themselves from class at some time (p<0.0001).Conclusions: This study shows that dysmenorrhoea is common among girls of this Senior Secondary School in Accra, Ghana. The correct approach to management of adolescent girls with dysmenorrhoea can reduce the adverse impact of severe dysmenorrhoea on academic activities in the form of class absenteeism.

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