CLINICOHISTOLOGICAL PATTERN OF OVARIAN TUMOURS IN PESHAWAR REGION
AbstractBackground: Ovarian tumours are one of the major health problems confronting the generalpractitioners in general and gynaecologists in particular. Ovarian tumours may either beasymptomatic, found on the routine ultrasound examination or symptoms may be vague till thepatient has an acute emergency like torsion or rupture of a benign cyst. The worst is late presentationof a malignant ovarian tumour. There is marked variation in the presentation of the tumour as well asin histological types. This study was undertaken to analyse modes of presentation and varioushistopathological patterns of ovarian tumours. Methods: This study was conducted from 1st January,2002 to 31st December, 2002, in Gynaecology ‘A’ Unit, Lady Reading Hospital (LRH) Peshawar.After admitting patients with ovarian tumours a detailed case history was taken followed by thoroughclinical examination. All the relevant details were recorded using the questionnaire. Patients wereinvestigated after performing various surgical procedures; the specimens of ovarian tumours weresubjected to Histopathological examination in the histopathology section, Lady Reading Hospital,Peshawar. Results: Amongst the total numbers of 5732 gynaecological admissions during studyperiod the total numbers of ovarian tumours were sixty-eight. Out of which benign ovarian tumourswere 61 (89.71%) and malignant ovarian tumours were 7 (10.29%) There were no tumours withborderline malignancy. The commonest histological pattern observed in the study was epithelialtumours (76.5%) including both benign and malignant tumours. The commonest benign tumour wasserous cyst adenoma (24%) followed by mature cystic teratoma (18%). Common malignant ovariantumours were granulosa cell tumours and Endometriod carcinoma (each 28.5%). Conclusion:Epithelial tumours are the commonest variety of ovarian tumours followed by Germ cell tumours.The histological type of ovarian tumour correlates with the prognosis of the tumour.Keywords: Ovarian tumours, teratoma, adenoma, cystadenoma, metastatic, neoplasm
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