OCCURRENCE OF OVARIAN TUMORS IN KARNATAKA

Ovary is relatively resistant to most diseases except to neoplasms. Ovarian cancer is the fourth leading cause of death in women. The present study included the clinicopathological evaluation of 180 cases of ovarian neoplasms in Gulbarga over a period of 3 years from June 2006 to May 2007. Ovarian neoplasms accounted for 2.17% of the total number of histopathology specimens and 11.43% of total hysterectomy and ovaritomy specimens submitted to our department during the study period. The peak incidence of ovarian neoplasms was in 3, 4 and 5 decade of life. Benign neoplasms were peak in 3 decade of life and malignant were in the 5 decade. The youngest patient was a 2 years old girl and the oldest was 70 years old lady. The commonest symptoms with which the patient presented was mass per abdomen in 42.2% cases followed by, mass per abdomen and pain abdomen in 22.8% cases. Endometriosis and massive oedema ovary were the tumor like lesions encountered. Ovarian tumors are one of the most researched topics in gynaecological pathology. During the present study of clinicopathological evaluation of 180 cases of ovarian neoplasm, it was found that the incidence of these neoplasms was almost the same in this region when compared with the previous data. KEY WORDS; Ovarian cancer, incidence of ovarian mass, clinical symptoms in Ovarian cancer. INTRODUCTION Ovary is unique in that it is relatively resistant to most diseases except perhaps to neoplasia. The reported incidence of different types of ovarian tumors varies widely. The complex anatomy of the ovary and its peculiar physiology with the constant cyclical changes from puberty to menopause gives rise to a number of cell types, each of which is capable of giving rise to tumours. Ovarian cancer is the fourth leading cause of cancer in women. Moreover, one can never be sure of the benign nature unless histopathology is determined. AIMS AND OBJECTIVES 1. To study the mode of clinical presentation and relationship of ovarian neoplasms to age. METHODOLOGY The present study was based on the critical examination of a total of 180 cases of ovarian neoplasms received at the department of pathology in gulbarga over a period of 3 years, which included 2 years retrospective period. The gross examination was done carefully noting the size, shape, extent and configuration, nodularity, consistency and presence of torsion. A minimum of 4-5 bits were selected from the representative areas of tumor. The sections 3-5 microns thick were cut and stained by haematoxylin and eosin, in all cases and special stains like PAS, Van Geison, Reticulin were done wherever necessary. The lesions were classified and studied as per WHO classification of tumors of ovary 2003. RESULTS The present study included the ‘Clinicopathological study of ovarian neoplasms’ over a period of 3 years with two years retrospective study i.e. from June 2006 to May 2008 and one year prospective i.e. from June 2008 to May 2009. This study was undertaken in the department of pathology M.R. Medical College, Gulbarga. A total of 180 ovarian neoplasms were evaluated. The systemic evaluation of the cases was done according to the proforma. The total number of histopathology specimens submitted during the 3 years was, 8290, among them the total Inamdar S.S et al. / OCCURRENCE OF OVARIAN TUMORS IN KARNATAKA 18 number of hysterectomy and ovariotomy specimens were 1575. The overall incidence of the ovarian neoplasms in the present study was 11.43%. Table 3: Showing the year wise distribution of ovarian neoplasms in the present study Year Number of cases Percentage 2006 (June 06-Dec-06) 36 20