Abstrait

A Clinico - Pathological Study of Ovarian Lesions

Vijay Kumar Bodal, Tanu Jindal, Manjit Singh Bal, Ranjeev Bhagat, Sarbhjit Kaur, Ninder Mall, Anikita Goel and Priyanka Goyal.

Ovarian lesions frequently form a pelvic mass and are associated with abnormal hormonal manifestations. Clinically and surgically they potentially mimic ovarian neoplasms but pathologically they can be classified into non neoplastic cysts, inflammation and neoplasms. Objective of the study was to determine the nature, frequency and distribution of ovarian lesions and to correlate their clinical findings with the histo-pathological features. The specimens of ovary from 150 patients were subjected to critical gross as well as histo-pathological study. Routine paraffin sections with H & E were seen. The clinical as well as histological findings were compiled on proforma and subjected to analysis. A total of 150 cases of non-neoplastic and neoplastic lesions were included. Non-neoplastic were more common (60%) than neoplastic lesions (40%). The commonest non-neoplastic lesion was luteal cyst followed by follicular cyst and endometriosis. Among the neoplastic tumours, 75% were benign; 1.66% borderline and 23.34% malignant. Surface epithelium tumours formed the maximum number followed by germ cell and sex cord stromal tumors. Only 1 case (1.67%) of non-ovarian metastatic (Krukenberg tumour) tumor was diagnosed. Benign serous cysts were the commonest benign tumours and serous cystadenocarcinoma was the commonest malignant tumour. Single case of borderline malignancy was included in the surface epithelial tumors category. Ovarian lesions pose many challenges. Gross features provide useful diagnostic clues. A specific diagnosis can usually be made on routinely H & E stained slides.