Title: A Study of Clinicomorphological Profile of Ovarian Tumors in Western India
Authors: Dr Shaheen H. Kanpurwala, Dr Shantanu M. Chavan, Dr Sugam Agrawal
DOI: https://dx.doi.org/10.18535/jmscr/v4i12.120
Abstract
Background: Ovarian tumors are one of the common tumors of female genital tract. The clinical and morphological features of these tumors are variable and also vary with geographic region.
Aim: The aim of study is collection and analysis of data of various clinicomorphological features of ovarian tumors in light of various studies conducted in variable geographic regions.
Results: Age group with peak incidence was 21-40 years. Abdominal pain was the most common symptom (68.8%). Tumors were bilateral in 12.7% patients. Malignant and borderline tumors had a larger mean diameter (>10 cm) as compared to benign tumors (<10cm). Grossly tumors were most commonly cystic (63.7%). Benign tumors were most common (57.32%) followed by malignant (35.66%) and borderline tumors (7%). Serous cystadenoma (35.88%), Borderline mucinous (63.6%) and Serous cystadenocarcinoma (46.4%) were the commonest tumors in benign, borderline and malignant categories respectively. Among histopathological types Surface epithelial tumors (70.07%) were the commonest followed by Germ cell tumors (22.29%), Sex cord stromal tumors (5.09%) and metastatic tumors (2.55%).
Conclusion: In our study, conducted in Western India, clinically lower abdominal pain was the most common symptom in contrast to Western countries wherein abdominal distension was most common. Benign tumors were most common but the incidence of borderline and malignant tumors were proportionately higher when compared to Western nations. Surface epithelial tumors were most common in both benign and malignant categories. Serous cystadenomas, Mucinous borderline and Serous cystadenocarcinoma were the most common tumors in benign, borderline and malignant categories respectively. These findings are important geographical variations since different tumors have been reported to be the commonest in benign, borderline and malignant categories in studies conducted in different geographic areas.
KEYWORDS – Ovarian tumor, incidence, histopathology, Western India.