Histopathological Study of Neoplastic and Non-neoplastic Lesions of the Ovary in Sanjay Gandhi Memorial Hospital/Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 9
Abstract
Introduction: Tumors of the ovary are common forms of neoplasms in women. In the developed world, ovarian carcinoma is the fourth or fifth most common cause of death from all cancers in women, and 7% of patients with these tumors present with advanced stage disease. Ovarian cancers account for 6% of all cancers in females. 80% are benign and these occur mostly in young women between the ages of 20 and 45 years. Malignant tumors are common in older women between the ages of 40 and 65 years. Aims: This study aims to the incidence of different histological types of ovarian lesions, histomorphological features, categorize ovarian lesions into neoplastic and non-neoplastic group, and correlate incidence of neoplastic and non-neoplastic lesion with particular age group and parity. Materials and Methods: The study was conducted on approximate 50 patients of ovaries received these include surgically resected ovaries, either as part of total abdominal hysterectomy with bilateral salpingo-oophorectomy or as a clinically diagnosed ovarian lesions from Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, from the duration of April 2017 to march 2018. Results: The total number of ovarian lesions studied during the study period was 50 cases, among them, 15 (30%) cases were non-neoplastic and remaining 35 (70%) cases were neoplastic. The most common non-neoplastic lesion seen was follicular cyst 6 (40%) cases followed by corpus luteal cyst 4 (26.66%) cases. Among the 35 neoplastic ovarian lesions, 26 (74.28%) cases were benign, 1 (2.85%) case was at borderline, and 8 (22.85%) cases were malignant. In benign ovarian neoplasm, most commonly lesion were serous cystadenoma 17 (48.57%) cases followed by benign cystic teratoma 4 (11.42%) cases. In malignant cases, the most common lesion were serous cystadenocarcinoma 3 (8.57%) cases followed by mucinous cystadenocarcinoma 2 (5.71%) cases. Overall, ovarian lesions were more common in age group of 20–39 years followed by 40–59 years. The youngest patient was 9 years old and the oldest patient was 69 years old. The malignant tumors were more common in nulliparous women (33.33%) than benign neoplasm (15.38%). Of total 35 neoplastic ovarian lesions, 32 (91.42%) cases were unilateral and 3 (8.57%) cases were bilateral. Conclusion: The histological type of ovarian tumor correlates with the prognosis of the tumor. Serum CA-125 screening along with annual pelvic examination after 35 years of age in women along with transvaginal ultrasonography can be used as regular screening methods to evaluate early detection of ovarian cancer. An accurate histopathological diagnosis combines with clinical staging will help in rendering prompt and appropriate treatment to the patients.
Authors and Affiliations
Ajay Kumar Gupta, Sanghmitra Singh, Uday Raj Singh
Keywords
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