Publication:

Scenario of ovarian mass lesions at a teaching hospital in Andhra Pradesh, India

Background Ovary is the common site of non-neoplastic and neoplastic lesions which accounts for significant morbidity and mortality. The objective of present study was to ascertain the frequency and distribution of the various non-neoplastic and neoplastic ovarian mass lesions and to study the clinical and histopathological presentation.

Methods Observational study of cases with ovarian mass lesions subjected to surgical management from September 2009-August 2014 at our centre Government General Hospital/RMC Kakinada.

Results Incidence of ovarian masses was (n=404) 4.66% in 8,656 admissions subjected to surgical management. There were (340/404) 84.16% neoplasms and (64/404) 15.84% nonneoplastic lesions. Follicular and simple serous cysts were common non neoplastic lesions. Twisted ovarian cyst was the commonest surgical emergency. Age of the patients ranged from 9years to 82years.Mean ages of non-neoplastic, benign and malignant lesions were 34.2years, 36.8years and 44.7yrs.Most of the cases were in reproductive agegroup (p<0.001). Benign neoplasms were (248/340) 72.94%, borderline (26/340) 7.64% and malignant neoplasms were (66/340) 19.41%. Surface epithelial tumours dominated other types (78.12%) followed by germ cell tumours (12.05%) and sex cord stromal tumours (6.47%). Mucinous cystadenoma (34.11%) was the commonest benign tumour, followed by serouscystadenoma 23.53%. Commonest malignant ovarian tumour was serous cystadenocarcinoma (9.11%).

Conclusion Ovarian neoplasms were more common than non-neoplasms subjected to surgical management. Surface epithelial tumours were the commonest neoplasms with more benign neoplasms. Commonest benign neoplasm was mucinous cystadenoma and malignant was serous cystadenocarcinoma. Significant number of malignant ovarian tumors presented at an earlier age and in late stages.