Histopathological spectrum of cystic ovarian mass- A one year study

Introduction: Ovarian cyst are fluid filled sacs that form within or on the ovary, which can either be non neoplastic or neoplastic. Non neoplastic cyst can be physiologic or pathologic and are more common than neoplastic cyst. This study was undertaken retrospectively for a period of 1 year to determine the histopathological spectrum of ovarian cystic lesions in our hospital. Result: During the study period 120 cases presenting with ovarian cystic masses were seen. The age range of patient was from 15 to 60 years. Maximum number of cases were seen in the age group of 21-30 years. Non neoplastic cyst were the most common among all the lesion studied of which follicular cyst (53.3%) made majority of cases. Among the Neoplastic lesion, 83% were benign tumours followed by malignant tumours (13%) whereas borderline tumours were found in 3% only. Serous cystadenoma (21%) were the most common benign tumour whereas serous papillary cystadenocarcinoma (62.5%) was the most common among the malignant cystic lesion. Most common clinical presentation was abdominopelvic mass (60%). Conclusion: Ovarian cystic lesions are commonly encountered surgical specimens. Abdominopelvic mass is the predominant clinical feature. Histopathological examination is important to categorize them into neoplastic and non neoplastic lesion so that proper treatment could be given to the patients.