Histomorphological pattern of ovarian tumor in a Tertiary Level Hospital, Dhaka, Bangladesh

Background: Ovarian tumors are one of the common malignancies of female all over the world affecting all age groups. It has become increasingly important because of the large variety of neoplastic entity. Objectives: To sort out the histomorphological pattern of ovarian tumors in a group of population of Bangladesh. Methods: It was carried out at the Department of Pathology, Dhaka Medical College Hospital, Dhaka, Bangladesh between July 2017 to Dec 2017 which included 100 cases. They were clinically and sonographically diagnosed ovarian tumor patients. Samples of these patients were received at the pathology department. Results: In this study, majority (28.0%) patients belonged to age 31-40 years. The mean age was found 36.3±12.7 years. Most of the patents had abdominal discomfort and occasional pain (63.0%). Most of the patients had unilateral lump (89.0%). Majority (56.0%) patients had cystic tumor and omental deposit was found in six (6.0%) cases. Majority (69.0%) were benign tumors, one (1.0%) was borderline and 30 (30.0%) were malignant tumors. Surface epithelial tumors were most common (65.0%), followed by germ cell tumors (32.0%), sex cord-stromal tumors (2.0%) and metastatic tumor (1.0%). Conclusion: From the clinical behavior, it is not possible to distinguish certainly benign ovarian tumor from its malignant counterpart. The different therapeutic management of ovarian tumors necessitate accurate pathological evaluation. Histopathological study is still the gold standard in diagnosing most of the tumors.