Objective:
To determine the epidemiology of gynecological cancer among patients treated at Hawassa University Comprehensive and Specialized Hospital (HUCSH) from 2013 to 2019. Design a retrospective cross-sectional review. Setting, participants, and outcome measure a total of 3002 patients’ cards with a diagnosis of cancer at a tertiary hospital named Hawassa University Comprehensive and Specialized Hospital were reviewed between February to May 2020.HUCSH is the only oncologic care center in the southern region of Ethiopia. Of this all-gynecologic cancer charts were extracted and descriptive and trend analyses were done. The review was conducted between February to May 2020.

Result:
Out of all 3002 cancer cases, 522(17.4%) cases of gynecologic cancers were identified in seven years. Cervical cancer accounted for 385(73.8%) of all gynecologic cancers in this study, the next most common gynecologic cancers were ovarian cancer (55%) and endometrial cancer (51%) respectively. The mean [SD] age was 44.84[12.23]. Trends of all identified gynecological cancers showed continuous increments of caseload year to year. Since 2016 increment of cervical cancer is drastically vertical compared to others.

Conclusion:
Despite the limited use of a registration and referral system in primary health institutions, the burden of gynecological cancers has increased over time. Treatment steps should be taken as soon as possible after a cancer diagnosis to prevent the disease from progressing.