A retrospective study of Demographic & Histopathological data of ovarian tumors from Department of Surgical Oncology in central India.

DR. ARUN PRAKASH DWIVEDI; DR. DEEPAK AGRAWAL; DR. SANJAY M. DESAI; DR.MAYANK PANCHOLI. DR. SONAL DIXIT

Volume : VI, Issue : VI, June - 2016

A retrospective study of Demographic & Histopathological data of ovarian tumors from Department of Surgical Oncology in central India.

Dr. Arun Prakash Dwivedi, Dr. Deepak Agrawal, Dr. Sanjay M. Desai, Dr. Mayank Pancholi. Dr. Sonal Dixit

Abstract :

  To study the Demography and various Histopathological patterns of ovarian tumors from single institute from central India. Materials and Methods: It is a retrospective observational study. The study is done by reviewing the records of patients who came in Department Of Surgical Oncology from Ocober.2013 to April2016. Various variables included were Patient’s age at diagnosis, clinical features, parity of patients, histological types ,CA125, Federation of Gynecology and Obstetrics stage, and overall Morbidity data were collected and analyzed. Results: A total of 35 cases of ovarian tumors were operated in oncosurgery unit and were analyzed. The patients that were taken for study were 20 to 80 years of age. 2 patients were nulliparous at the time of presentation. The most common presenting complaints were pain and distention of the abdomen (68%) irrespective of the nature of the ovarian tumor. The size of the tumor was variable, ranging from 5cm to 25 cams. Pain and discomfort was directly proportional to the size of the tumor .Optimal cytoreduction or complete staging was done in 20 patients out of 21 malignant cases & rest 14 cases of benign cystadenomas were managed with either oopherectomy for the involved side or TAH+BSO. The surface epithelial tumors were the most common ovarian tumor operated ,constituting 17 cases (48.7%), followed by 14 cases of benign ovarian tumors(40%), 3 cases of sex cord stromal tumors & 1case of Germ cell tumor (2.8%).. Right and left sides were almost equally affected among unilateral tumors. Combination of Taxane and Platinum29, 30 was most commonly used as first line of chemptherapy. Conclusions: We found that epithelial ovarian cancer are most common malignancy in all the cases .The most common stage at presentation was IIIb /IIIc. Optimum cytoreduction is achievable by carefully selecting the patient.