Publication:

A study of epidemiological and clinical profile of ovarian neoplasms at a tertiary care hospital

Background The cancer of the ovaries tends to remain asymptomatic. Hence better understanding of the natural history of disease is essential for prevention. The objective of the present study was to observe the epidemiological and clinical profile of women with ovarian neoplasms at a tertiary care hospital.

Methods A hospital based cross sectional study was carried out among women of age up to 35 years presenting to the Obstetrics and Gynecology Department of our hospital during the study period of two years. It was possible to study a total of 56 women in the present study as per the inclusion and exclusion criteria laid down for the present study.

Results T It was found that maximum cases were in the age group of 26-30 years (42.9%). Majority of the women were nulliparous (46.5%). The most commonly reported symptom of ovarian tumor was abdominal pain in 62.5% of the cases. 50% of women having menstrual symptoms complained of amenorrhea. There were 11 cases associated with pregnancy. Among them, four (36.4%) were of dermoid cyst. There were 9 cases of torsion. Among them maximum (55.6%) were of dermoid cyst. Maximum tumors (92.9%) were unilateral. Maximum tumors (73.2%) were of size less than 10 cm. maximum tumors (53.6%) were cystic with solid component. Ascites was seen in 14.2% of the cases.

Conclusions As the age increased the incidence of the ovarian neoplasms also increased. Bilaterality, small size and cystic nature were the most common features of the ovarian neoplasms. Though majority was simple, complications like torsion, association with pregnancy can be seen and hence thorough investigations are needed.