Diversity of Ovarian Tumors: An Institutional Study

Abstract

Introduction: Ovarian tumors are classified into three primary classes based on the type of the ovarian tissue where the neoplasm develops: Epithelial tumors 90%, germ cell tumors 3% and sex cord/stromal tumors 6%.About 80% of ovarian tumors are benign and occur in young women between the ages of 20 and 45 whereas 20% are malignant tumors common in older women between ages of 40 and 65 having poor prognosis. Method and Material: The present study was a prospective study carried out in the Department of Pathology, Government Medical College, Jammu. The samples included the specimens from the Department of Gynecology at our institute along with specimens from outside. A total 71 ovarian specimens were studied. Results: Out of 71 tumors 83.09% were benign tumors, 7.04% were borderline and 9.8% were malignant tumors. The age range of patients was 9 years to 62 years. Majority of patients were between the age range of 31–40 years. Most common ovarian tumors were surface epithelial tumors comprising of 60.5% followed by germ cell tumors 33.8% and sex cord stromal tumor 5.6% (4/43).Based on site, most of the ovarian tumors were right sided comprising of 49.3% (35/71) and 21% were bilateral.On gross examination, majority of ovarian tumors were cystic comprising of 75% cases. Conclusion: Histopathology is the best method to differentiate between benign and malignant tumors and it also helps in predicting the prognosis of ovarian tumors.