Clinicopathological Profile and Incidence of Ovarian Tumors �  A Ten Year Study

Dr. VIJAYTA MODI; Dr. MAHESH PAL KHATRI; Dr. NARAYANI JOSHI

Volume : V, Issue : I, January - 2016

Clinicopathological Profile and Incidence of Ovarian Tumors � A Ten Year Study

Dr. Vijayta Modi, Dr. Mahesh Pal Khatri, Dr. Narayani Joshi

Abstract :

Aims: To find out relative incidence of histological subtypes, age study and clinical presentation of ovarian tumours. Settings and Design: Cross- sectional study. Methods and Material: The study consisted of 235 specimens of ovarian tumors, received fixed in 10% formalin. H&E stained slides were examined to determine the histological type by WHO classification. Statistical analysis used: Frequency & Chi- square. Results: 235 cases of ovarian neoplasms were studied. Among 235 cases, 82.98% benign, 1.28% borderline and 15.74% malignant ovarian neoplasms were found. Most common incidence was of surface epithelial neoplasms (73.6%) and then was germ cell neoplasms (18.7%). Sex cord-stromal tumours accounted for 5.1% of all cases and granulosa cell tumours constituted 2.5% of all. Benign cystic teratomas were most common germ cell neoplasms. Highest incidence of all neoplasms was from 21-50 years of age. Most of the patient with ovarian neoplasm was asymptomatic. Most common mode of presentation was with pain abdomen (62.7%), swelling abdomen (49.5%) and menstrual disturbance (36.8%). Gross characteristics of ovarian neoplasms were not very specific. Microscopically, all neoplasms fulfilled criteria as observed by other authors. Majority of cases i.e. 93% are unilateral, 7% cases are bilateral. Conclusions: Surface epithelial tumours form the most common group of ovarian neoplasms with serous variety encountered most commonly. Borderline tumours show features intermediate between clearly benign and malignant tumours. Ovarian neoplasms are seen most commonly in 21 to 50 years of age. Most common mode of presentation with ovarian tumours is pain abdomen and swelling abdomen. WHO classification is simply, easy to understood and easily applied