Histopathological spectrum of ovarian tumors – A prospective study at a tertiary care centre in Srikakulam

Authors : K Santhoshi Rupa, S Jagadeeswari, K Rajani, Lakshmi Vasavi Hanumanthu

DOI : 10.18231/j.pjms.2023.084

Volume : 13

Issue : 2

Year : 2023

Page No : 443-446

Introduction: Ovarian tumours (OTs) can occur in all age groups, account for 20% of benign and 6% of malignant cases. Increasing age, nulliparity, lower fertility and so on are the risk factors of OTs. With this a study was conducted to categorize OTs based on histopathology, to analyse with respect to the age and classify according to WHO guidelines.
Materials and Methods: This was a prospective, cross-sectional study conducted in the department of Pathology, government Medical College, RIMS, Srikakulam. Study was conducted from July 2019 to December 2020. Study protocol was approved by the institutional ethics committee. Women, aged >18yrs, suspected to be OTs, were included in the study. Specimen in the form of partial or total abdominal hysterectomy were considered. The macroscopic features were recorded in the study proforma, fixed in 10% formalin. Biopsy were taken from multiple as well as relevant areas, thoroughly processed stained with haematoxylin and eosin, examined under the light microscope.
Results: Out of 62tumors, 90% were benign tumors (BET) followed by malignant tumors (MLT) and borderline tumors (BLT). Majority were BETs, in 31 – 40 years group. Out of 5 MLTs, maximum (3) were detected in 41 – 50 years. Majority (3) of MLTs were surface epithelial tumours.
Conclusion: Thorough study of gross and microscopic features not only help in the proper categorization but also provide a route for treatment plan as the therapeutic approach varies with the subtype of OT. The immunohistochemistry analysis may be an aid if any ambiguity in the diagnosis.
 

Keywords: Ovarian tumours, Benign, Malignant, Surface epithelial tumour, Germ cell tumour


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