Retrospective Study of Spectrum of Ovarian Lesions in SGMH/GMH Rewa, Vindhya Region (M.P.), India

Dr. Ajay Kuamr Gupta; Dr. Sanghmitra Singh

Volume : VIII, Issue : III, March - 2019

Retrospective Study of Spectrum of Ovarian Lesions in SGMH/GMH Rewa, Vindhya Region (M.P.), India

Dr. Ajay Kuamr Gupta, Dr. Sanghmitra Singh

Abstract :

Introduction: In the developed world, ovarian carcinoma are the fourth or fifth most common cause of death from all cancers in women. Ovarian cancers account for 6% of all cancers in females. 80% are benign and these occur mostly in between the ages 20 –45 years. Malignant tumours are commonin between the ages of 40 – 65 years. Aims: To study 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. Material and Methods: The study was conducted on approximate 100 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 (M.P) from duration July 2016 to June 2018. Results: The total number of ovarian lesions studied during study period was 100 cases, amongst them 30(30%) cases were non–neoplastic and remaining 70(70%) cases were neoplastic. The most common non–neoplastic lesion seen was follicular cyst 12(40%) cases, followed by corpus luteal cyst 8(26.66%) cases. Among the 70 neoplastic ovarian lesions 52(74.28%) cases were benign , 2(2.85%) case was at borderline and 16(22.85%) cases were malignant. In benign ovarian neoplasm ,most commonly lesion were serous cystadenoma 24(48.57%) cases, followed by benign cystic teratoma 8(11.42%) cases. In malignant cases, most common lesion were serous cystadenocarcinoma 6(8.57%) cases, followed by mucinous cystadenocarcinoma 4(5.71%) cases. Benign tumours were more common in age group of 20–39 years,while malignant tumours were more common in age group of 40–59 years. The malignant tumours were more common in nulliparous women (33.33%) than benign neoplasm (15.38%). Conclusion: The histological type of ovarian tumor correlates with the prognosis of the tumour. Serum CA–125 screening along with annual pelvic examination after 35 years of age in women along with Transvaginal USG can be used as regular screening methods to evaluate early detection of ovarian cancer.An accurate histopathological diagnosis combine with clinical staging will help in rendering prompt and appropriate treatment to the patients.