Spectrum of Ovarian Lesions: A Retrospective Review of Histopathological Records

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.