Abstract

*Dr. Rajani Vaidya, Dr. Lekshminath G, Dr. Fathimathul Jusna K., Dr. S. Vinayachandran, Dr. Prejisha B., Dr. Sily Sreedharan and Dr. Jahrin P. K.

ABSTRACT

Back ground: Ovarian masses are extremely common gynaecological problemsranging from physiological cysts to aggressive neoplasms. Immunohistochemicaland chromosomal studies are important in the diagnosis and differentiation ofovarian tumours, but in developing countries like India, histopathological studiesstill form the backbone of diagnosis of these tumours. Aims and objectives: Tostudy the incidence of various types of ovarian masses and its demographic featuresand to find out the correlation between clinical and histological features. Materialsand methods: This retrospective of two year duration was conducted in obstetricsand Gynaecology department of Malabar Medical College Hospital and ResearchCentre, a tertiary care centre in Kozhikode, Kerala from 2019 June to 2021 June.Total 135 ovarian cases were studied. Women surgically managed for ovarianpathologies were included. Information regarding age, parity, presenting symptoms,clinical details, mode of surgical approach and histology was collected from thepatient’s records. The data was analysed using descriptive statistics. Results:Among 135 patients ranging from age of 13 to 65 and above, maximum incidenceof ovarian masses were in age group 35 to 54 (55%).Majority of ovarian masseswere benign (88.14%), followed by equal distribution of borderline and malignanttypes (5.9%).Most common histopathology was surface epithelial type in benignovarian masses(47.06%) followed by almost equal distribution of mucinouscystadenoma and mature cystic teratoma(20.17%),(18.48%).Most commonmalignant type was serous cystadenocarcinoma(37.5%)followed by endometriodcarcinoma(25%). Conclusion: Ovarian tumors affect women of all age groups withincreasing incidence of malignancy as age advances. Histopathology plays a keyrole in differentiating the various types of ovarian tumors. Tumors of epithelialorigin are the commonest type in both benign and malignant ovarian masses.