Ovarian cancer is the sixth most common site of tumor formation in women in Federation of Bosnia and Herzegovina, entailing 5.6% of all incidence of cancer in women. According to the Public Health Institute of Federation of B&H there were 99 newly diagnosed ovarian cancer patients in 2008. Aim: The aim of this article is to present the incidence of ovarian cancer stages in women who have been treated at the Clinical Center of the University of Sarajevo in 2009. Methods: The number and type of surgical procedure was analyzed using the protocols from the Clinic of Gynecology and Obstetrics and Clinical Pathology and Cytology. Results: Surgical treatment was done in 32 patients with ovarian cancer. The most commonly diagnosed cancer is serous adenocarcinoma in 13 patients (41%), mucinous in 11 (34%), endometriod in 5 (16%), and undifferentiated adenocarcinoma in 3 patients (9%). Average age of patients was 58.1 years. According to the FIGO classification, most women who undertook surgery were in the Ia stage of the disease (13 patients, 42%). The Ib stage was diagnosed in 3 patients (9%), IIa stage in 2 (6%), and IIc in 1 (3%). In the advanced stage III of the disease there were 10 patients (31%), and in stage IV there were 3 (9%). Twenty three patients had metastatic disease. Most common sites of metastasis were omentum (12 patients, 52%), peritoneum (5, 22%), stomach (3, 12%), uterine tube (1, 4%), uterus (1, 4%), and intestines (1, 4%). Conclusion: In 2009, two thirds of diagnosed ovarian cancer was operable. Out of those patients, 40% were in the advanced stages of the disease according to the FIGO III and IV stages. Patients in stages II to IV underwent chemotherapy at Clinic of Oncology after the surgical treatment. Unfortunately, specific test for diagnosing ovarian cancer has not been found. In order to increase the survival of cancer affected women and to improve their quality of life, it is necessary to focus on the early detection of ovarian cancer.
Key words: ovarian cancer, surgical treatment, prevention.
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