Spectrum of Ovarian Lesions: A Retrospective Review of Histopathological Records
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This retrospective review of 200 ovarian mass specimens analyzed histopathological patterns and distribution, identifying leiomyoma and adenomyosis as prevalent findings to establish histopathology as the diagnostic basis for classifying these lesions.
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This retrospective study analyzed the histopathological patterns and distribution of 200 ovarian mass specimens collected from a tertiary hospital in India. The results indicated that most patients were between 10 and 39 years old, with the majority of lesions being unilateral and benign, such as cystic follicles and hemorrhagic cysts. While leiomyoma and adenomyosis were noted as prevalent findings in hysterectomy specimens, the primary focus remained on classifying various ovarian lesions based on pathological examination rather than clinical symptoms. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.
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Abstract
Aim: This study was undertaken to study the various histopathological patterns of ovarian lesions, their classification and relative distribution of these lesions. Methods: The study was undertaken as a retrospective systematic study using existing patient data retrieved from the records of the Department of obstetrics and Gynecology, AIIMS, New Delhi, India . 200 ovarian mass specimens were received for evaluation, either as solitary specimens, or as part of total abdominal hysterectomy (TAH) specimens. Results: Most patients were 10-39 years old. 20 (15%) instances were bilateral and 170 (85%) unilateral. 39 were symptomless. Hysterectomy specimens with salpingo-oophorectomy have associated findings. Leiomyoma and adenomyosis were most prevalent. Hydrosalpinx, chronic cervicitis, carcinoma endometrium, and carcinoma cervix were also found. Cystic follicle (14 instances), Follicular cyst, Par ovarian cyst (6 cases), hemorrhagic cyst, ectopic pregnancy, Torsion ovary, Inclusion cyst, and oophoritis did not cause cancer. Conclusion: Several types of ovarian lesions have comparable clinical, radiological, and gross characteristics. Histopathology is the basis for diagnosing and classifying these lesions.
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Aim: This study was undertaken to study the various histopathological patterns of ovarian lesions, their classification and relative distribution of these lesions. Methods: The study was undertaken as a retrospective systematic study using existing patient data retrieved from the records of the Department of obstetrics and Gynecology, AIIMS, New Delhi, India . 200 ovarian mass specimens were received for evaluation, either as solitary specimens, or as part of total abdominal hysterectomy (TAH) specimens. Results: Most patients were 10-39 years old. 20 (15%) instances were bilateral and 170 (85%) unilateral. 39 were symptomless. Hysterectomy specimens with salpingo-oophorectomy have associated findings. Leiomyoma and adenomyosis were most prevalent. Hydrosalpinx, chronic cervicitis, carcinoma endometrium, and carcinoma cervix were also found. Cystic follicle (14 instances), Follicular cyst, Par ovarian cyst (6 cases), hemorrhagic cyst, ectopic pregnancy, Torsion ovary, Inclusion cyst, and oophoritis did not cause cancer. Conclusion: Several types of ovarian lesions have comparable clinical, radiological, and gross characteristics. Histopathology is the basis for diagnosing and classifying these lesions.
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2024-05-29
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References
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