Histopathological spectrum of ovarian lesions in tertiary care institute of central India.
Introduction: The ovarian pathology is currently among the widest and most complex problems in modern gynecology mainly through ovarian tumours. Its mortality rate exceeds the combined mortality of both endometrium and cervical neoplasm. We studied clinical spectrum, associated findings and the diverse histomorphological patterns of ovarian lesions, thus offering a specific diagnosis which is of paramount clinical significance for both pathologist and gynecologist for better understanding of the disease and planning proper management of the patients.Materials And Methods: Histomorphological evaluation in 214 cases of ovarian neoplastic and non-neoplastic lesions received for histopathological diagnosis in three years duration. Detailed clinical, radiological, operative and gross findings were noted and co-related with histopathological findings.Result: Out of 214 cases 133 were non neoplastic, 47 were benign, 03 were borderline and 31 were malignant. Most of the patients (62%) were from reproductive age group. Among non neoplastic lesions, simple serous cyst was most common (36%) followed by corpus luteal cyst (25%) hemorrhagic cyst (13.5%) and other. Of neoplastic lesions 55 are of surface epithelial type (66%) and germ cell tumour constituting 24.7% followed by other. Abdominal pain (38.7%) is most common presenting symptom followed by abdominal distension (34.1%), menorrhagia (18.2%), dysmenorrhea, polymenorrhea, weight loss, sterility, urinary symptoms and mass per vagina. Right ovary is affected more than left. All lesions of size 03cm or less are non neoplastic, 24 out of 31 malignant cases are more than 10 cm in size.Conclusion:- Ovary is a frequent site for primary cancer and due to its complex structure, primary ovarian neoplasms are of diverse histological types. The diversity of neoplasms makes it mandatory to classify the tumours accurately as histopathological diagnosis combined with clinical staging will help in rendering prompt and appropriate treatment to the patient.
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