Objective: Gynecologic lesions are largely ignored public health problems. The study seeks to establish the histologic pattern of gynecologic morbidities in Delta State. Patients and method: This is a descriptive retrospective study in Delta State University Teaching Hospital DELSUTH, Nigeria. The age and diagnosis of gynecological lesions diagnosed from 2014-2019 were extracted from the histopathology records, analyzed using Microsoft Excel 2007 Spreadsheet and summarized in tables. Results: Gynecological lesions accounted for 16.4% of surgical biopsies. The age-groups of 20-29, 30-39, 40-49, 50-59 and 60-69 years accounted for 9.1%, 36.3%, 26.7%, 15.4% and 7.1% of the cases respectively. Diseases of the myometrium, ovary, uterine cervix, endometrium, vagina, fallopian tube and vulva accounted for 42.6%, 24.6%, 19.5%, 6.6%, 1.9%, 1.7% and 1.4% of the cases respectively. Benign neoplasms, malignant neoplasms, cystic non-neoplastic diseases, intraepithelial lesions, inflammatory and pregnancy-related disorders accounted for 53.3%, 20.4%, 9.3%, 7.1%, 6.0% and 2.8% of the cases respectively. Cervical lesions include cancer (59.2%), endocervical polyp (15.5%), intraepithelial neoplasm (15.5%), cervicitis (5.6%) and leiomyoma (4.2%). Myometrium lesions include leiomyoma (98.7%), adenomyoma (0.6%) and gangrenous uterus (0.6%). Endometritis (16.7%), hyperplasia (62.5%), and cancer (20.9%) occurred in the endometrium. Hydrosalpinx (6.3%), salpingitis (37.5%) and tubal pregnancy (56.3%) were the tubal lesions. Ovarian lesions included inflammatory disorders (11.6%), non-neoplastic cysts (34.9%), surface epithelial (24.2%), germ cell (18.6%) and sex cord stromal tumours (9.3%). Conclusion: Benign disorders are more common than malignancies with leiomyoma and cervical cancer representing the most common benign and malignant tumours respectively.

Keywords: Gynecology, morbidity, cancer, females