Publication: Clinicomorphological Spectrum of Ovarian Cystic Lesions
Date
2016
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Ovarian cysts, which present as neoplastic and non-neoplastic lesions, are the most
common gynaecological cause of hospital admissions. Early diagnosis is difficult due
to asymptomatic nature. Clinical, radiological and gross examination alone cannot
distinguish benign from malignant lesions, hence, histopathological examination is
important for diagnostic, therapeutic and prognostic approach.
Objective
The objective of the study is to analyze the spectrum of ovarian cystic lesions with
their clinico-morphorgical features.
Method
This is a prospective study done in between July 2014 and July 2015 in Dhulikhel
Hospital-Kathmandu University Hospital. Clinical data of patients were obtained
from hospital records and requisition submitted along with the tissue specimens
received in the department.
Result
A total 84 cases of ovarian cystic lesions were studied. Among these, 47 (55.9%)
were non-neoplastic lesions, 33 (39.3%) were benign neoplasms, two (2.4%) were
borderline and two (2.4%) were malignant neoplasms. The most common non-
neoplastic lesions were follicular cysts, 26 (55.3%) followed by simple cysts 14
(29.8%), hemorrhagic cysts five (10.6%) and corpus luteal cysts two (4.3%). Among
all neoplasms, 19 (51.4%) were mature cystic teratoma followed by 10 (27.0%) cases
of mucinous cystadenoma and four (10.8%) cases of serous cystadenoma. Between
two (5.4%) malignant cases, one was immature cystic teratoma and the other
was mucinous cystadenocarcinoma. Besides these, two (5.4%) cases of borderline
mucinous cystadenoma were also present.
Conclusion
Ovarian cystic lesions are difficult to categorize on the basis of clinical and radiological
findings. Histopathological examination plays a significant role to differentiate benign
lesion from malignant as well as for the proper management.
KEY WORDS
Neoplasm, non-neplastic lesions, ovarian cyst
Description
Dhakal R,1 Makaju R,1 Bastakoti R2
1Department of Pathology
2Department of Gynecology and Obstetrics
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal.
Keywords
Neoplasm, Non-neplastic lesions, Ovarian cyst