HISTOPATHOLOGICAL STUDY OF OVARIAN NEOPLASMS

Background: Ovarian tumors are the second most common tumor of female genital tract. The Ovarian neoplasm manifest a wide spectrum of clinical, morphological and histological features. Their complex nature, unpredictable behaviour, prognosis and varying therapeutic strategies, necessitates an accurate diagnosis. This study is aimed to record the histopathological spectrum of ovarian neoplasms and study the age wise distribution and frequency of benign and malignant ovarian neoplasms. Materials and methods: This Study was conducted in Mysore Medical College and Research Institute for a period of 18 months. All the 120 cases of ovarian neoplasms obtained were grossed, processed, examined and categorised. All relevant clinical data of patients analysed from the hospital records. Results: The total number of ovarian neoplasms studied during study period was 120 cases. The peak age incidence was fifth decade. Among them 102 (85%) cases were benign, 11(9.1%) malignant and 7(5.8%) Borderline tumors. Based on histological type, Surface epithelial tumors accounted for 96(80%), Germ cell tumors were 18(15%) and Sex cord stromal tumors were 6(5%). The most common benign neoplastic encountered was Serous Cystadenoma. In Malignant cases, maximum were Adult Granulosa cell tumor.   Conclusion: Ovarian neoplasms posses wide spectrum of histology. Early detection and surgical intervention prevents the progression of disease. Hence, their recognition is important from the view point of therapy and prognosis. Histopathological examination still remains the gold standard investigation. Hence this study is undertaken, to determine the histopthologica spectrum of ovarian neoplasms.