Volume : VIII, Issue : VIII, August - 2018

Histomorphological Stratification of Ovarian Pathology

Juhi Chauhan, Sathyavathi R Alva, Gopinath Rajesh

Abstract :

 Background: Ovary is the commonest site of neoplastic and non–neoplastic lesion, can present in childhood to the postmenopausal age group and accounts for the most prevalent cause of hospital admission. Histopathological examination remains the gold standard investigation for the study of these lesions. Aim: To study the frequency of neoplastic and non–neoplastic lesions and to evaluate the histomorphological patterns and highlight the rare types and rare features in the usual type if any. Material and methods: The present prospective study is based on the histomorphological evaluation of 60 cases of ovarian lesions received at the department of pathology over a period of one year from 1st June 2017 to 31st may 2018. Histopathological patterns were identified and categorized into non–neoplastic and neoplastic entities. Result: The non–neoplastic and neoplastic category had 35 and 25 cases each accounting for 58% and 42% respectively. The commonest nonneoplastic lesion was a corpus luteal cyst, 16 cases constituting 45.7%, the follicular cyst was the second most common with 8 cases, 23%. Endometriotic and Hemorrhagic ovarian cyst with 5 cases each constituted for 28% of the non–neoplastic lesions. The commonest ovarian tumour was surface epithelial with 21 cases, 84%, serous cystadenoma was the most common surface epithelial tumour followed closely by mucinous cystadenoma (serous cystadenoma 8 Cases/32%, mucinous cystadenoma 7 Cases/ 28%). Germ cells and the sex–cord stromal tumor had a contribution of 2 cases each, 16%. Conclusion: Ovarian lesion possesses a wide gamut of histology, the non–neoplastic category is the most common than neoplastic category. Corpus luteal cysts and follicular cysts are frequently encountered non–neoplastic lesions when compared to endometriotic and hemorrhagic ovarian cysts which were less common. Serous and mucinous cystadenoma were the common entities encountered in the neoplastic category. Histopathology remains the gold standard investigatory tool for evaluation of these entities. CONCLUSION : Non–neoplastic category of ovarian lesions are the commonest followed by neoplastic ones, the corpus luteal and the follicular cysts contributed to the majority of the cases in the non–neoplastic category with a minor contribution by endometriotic and HOC. The benign serous cystadenoma was the commonest of the ovarian neoplasm followed closely by mucinous cystadenoma together contributing to the major bulk in this category. The diverse clinical presentation justifies the need for histopathological examination and diagnosis of the lesion, an accurate histopathological diagnosis will help in rendering prompt and appropriate treatment to the patient.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Juhi Chauhan, Sathyavathi R Alva, Gopinath Rajesh, Histomorphological Stratification of Ovarian Pathology, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-8 | August-2018

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