Summary:
Background: Ovarian tumor is a common type of
gynecological neoplasm and accounts for 15-25% of all
gynecological malignancies. It is associated with high
mortality and an accurate histological diagnosis is essential
for management of patient.
Objective: The study was performed to find out the
morphological pattern, nature and age distribution of
ovarian tumour in our hospital.
Material and methods: It was a prospective study,conducted
in the Department of Histopathology and Cytopathology,
BIRDEM General Hospital, Dhaka for a period of two years
from Jan 2014 to Dec 2015. This study included 186 cases
of ovarian tumors sent in the Department of Pathology for
histopathological evaluation. Non-neoplastic lesions and
tumour-like conditions were excluded from the study.
Histological diagnosis, age and laterality of ovary were
recorded. Morphological pattern, nature and age
distribution of ovarian neoplasms were calculated.
Result: 84.95% cases of ovarian tumour were benign, 1.61%
cases were borderline and 13.44% cases were malignant.
ORIGINAL ARTICLES
Surface epithelial tumour was the commonest type of tumour
(61.83%), according to the histogenesis , followed by germ
cell tumour. Benign serous tumour was the most common
type of benign tumor (37.98% cases), followed by mature
cystic teratoma (33.55% cases). Serous cystadenocarcinoma
was the most common type of malignant tumour (36.0%),
followed by endometrioid carcinoma (28.0%). Benign
tumours were more frequent in all age group. The incidence
of malignant ovarian tumour increased with age and was
most frequent in >50 years age group.
Benign tumours were commonly cystic, whereas malignant
tumours were commonly solid and cystic. 11.23% cases of
ovarian tumours were bilateral.
Conclusion: Benign ovarian neoplasms were more common
than malignant ones and benign serous tumour was the
commonest type of benign neoplasm whereas serous
cystdenocarcinoma was the commonest type of malignant
neoplasm. The pattern and age distribution of ovarian
tumour of our study were quite similar with other studies
with some variation.
(J Bangladesh Coll Phys Surg 2018; 36: 5-10