Clinico-Pathological Analysis of 100 Ovarian Tumours at a High Volume Referral Hospital

Ovarian tumors account for about 30 % of female genital cancers. Approximately 80 % of these are benign. Benign neoplasms occurred more commonly in younger age group i. e.21-40 years as compared to the high incidence of malignant neoplasms in the 41-50 years of age group. Here we present a retrospective analysis of series of 100 ovarian tumors at a high volume referral center. Our results showed that Of 100 cases 79 % were benign, 16 % were malignant and the rest 5 % were borderline malignant tumors. Of all benign tumors serous type are 35.4 %, mucinous are 48.8 %, dermoid cysts 15.2 %. All borderline malignant tumors are mucinous cystadenoma.50 % of malignant tumors are serous cyctadenocarcinomas, 12.5 % are mucinous cyctadenocarcinomas and 12.5 % are papillary cycstadenocarcinomas. To conclude highest incidence of benign tumours were seen in the active reproductive age group, whereas for malignant tumours the maximum incidence was seen between 41 and 60 years. Majority of malignant tumours noticed in multiparous women with low socioeconomic status. However the risk of malignancy was noticed more in nulliparous compared to benign tumours. Largest group of women were illiterate. No definite correlation was detected in particular blood group. Early diagnosis in ovarian carcinoma is difficult without laparotomy. Total abdominal hysterectomy with bilateral Salping-oopherectomy in early stage gives best results. Postoperative chemotherapy resulted in better prognosis.