An Institution-based study on Cystic Lesions of Ovary in the Konkan belt of Maharashtra State, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Background: The aims of this study were: 1.) To find out the overall incidence of ovarian cysts in our hospital. 2.) To analyze age incidence of various ovarian cysts studied. 3.)To evaluate various clinical presentation of ovarian cysts. 4.)To find out the incidence of non-neoplastic as well as neoplastic cysts and furthermore incidence of benign and malignant ovarian cysts. 5.)To study the clinico-pathological significance. Methods: 158patients were included in study over a period of three years from August 2014 to July 2017. All the patients with cystic lesions of ovary based on biopsies alone, on resected specimens alone and both consequently were examined and included in the study. All the biopsies specimen and resected specimen were fixed in 10% formalin and processed in automatic tissue processor. Routine Haematoxylin and Eosin staining was done and examined under light microscope. All the data was analyzed with respect to age-wise, sex-wise, site-wise distribution along with incidence of various cystic lesion of ovary studied in all 158 cases. All patients in whom both biopsy and final specimen were resected, histopathological correlation was done in them. Results: Patients in the age group of 41 – 50 years were having maximum number of cystic lesion of ovary in the present study. High adequacy of samples for histopathological examination of cystic lesion of ovary was seen in the present study. Overall, benign lesions were higher in incidence than malignant cystic lesions amongst neoplasticovarian cysts.Menstrual disturbances followed closely by lower abdominal pain were the most commom complaints. Follicular cyst was most commonly diagnosed closely followed by serous cystadenoma.Pain was the main presenting symptom in cases of serous cystic tumors and dermoid cysts whereas mucinous cysts presented mainly with lump in abdomen. Pre-operative guided biopsy helps in prompt management and subsequent better survival, especially in malignancy cases. Conclusion: Most women of reproductive age group develop small cysts each month, and large cysts that cause problems that occur in about 8% of women before menopause. Overall benign lesions were higher in incidence than malignant cystic lesions among neoplastic ovarian cysts.Malignant serous tumor of ovary was the most common malignant ovarian cystic tumor. Pre-operative guided biopsy helps in prompt management and subsequent better survival, especially in malignancy cases. Biopsy findings are subsequently well-correlated with histopathology findings of final resected specimens. This signifies the importance of pre-operative biopsy based diagnosis in patients with problematic ovarian cysts.
Authors and Affiliations
Bhushan M. Warpe, Shweta Joshi Warp, Ranjeem M. Dhanshe
Keywords
Related Articles
- EP ID EP370993
- DOI 10.9790/0853-1704107286.
- Views 43
- Downloads 0
A Comparative Study of Behaviour Problems in Tribal and Nontribal Children Residing In Urban Areas
.
Interest of Fibroscan in the Evaluation and Follow-Up of Liver Fibrosis Induced By Methotrexate.
Introduction: Fibroscan allows non-invasive study of liver fibrosis and has recently been proposed in the follow-up of patients treated with methotrexate (MTX) in the long term for chronic inflammatory diseases. The purp...
Evaluation Of The Role Of Diagnostic Laparoscopy Innon Specific Abdominal Pain & Its Correlation With Clinical & Radiographic Findings
BACKGROUND: Non specific abdominal pain is a diagnostic challenge; such patients frequently seen by many physician & undergoing vast diagnostic workup without making definitive diagnosis at the end & got unsatisfactory d...
Phototherapy Induced Hypocalcemia in Neonatal Hyperbilirubinemia
Background:- Jaundice is an important problem in the 1st week of life affecting approximately 60% of term and 80% of preterm infants. It is commonly managed by phototherapy. Phototherapy may result in the development of...
Cemento-Ossifying Fibroma of The Mandible : A Case Report
The cemento-ossifying fibroma is classified as a fibro-osseous lesion of the jaws. They are included in the group of mesodermal odontogenic tumors and commonly present as a progressively growing lesion that might attain...