CLINICO-PATHOLOGICAL PROFILES OF OVARIAN CYSTS IN WOMEN OF VARYING AGE GROUPS-OUR EXPERIENCE IN 3 YEARS

Abstract

Background: The ovary is a well-organized mixture of germ and somatic cells suspended laterally from the uterus by the utero-ovarian ligament. Ovulation on one or both ovaries can result in the formation of an ovarian cyst, which is a uid- lled sac. The majority of benign ovarian lesions are cystic and occur in women of reproductive age, whereas malignant tumours are more common in elderly postmenopausal women. Ovarian cancer accounts for almost 23% of all gynaecological tumour with a high fatality rate and poor prognosis. Hence, proper management depends on the histo - morphological division of non- neoplastic, benign and malignant lesions. This study was done to differentiate the lesion histo-morphologically and to know the commonest lesion in each age group. A hospitalMethodology: based- retrospective cross-sectional study was conducted in a tertiary care hospital, Chennai, Tamil Nadu, from January 2018-January 2020 including 53 patients satisfying the inclusion criteria i.e clinically or radiologically diagnosed as ovarian cysts, with histopathological conrmation were included in the study”. Data collected was entered and analyzed in SPSS software version 24. The mean age andResults: standard deviation among 53 study participants was found to be 38.66 ± 12.49, around 28 (52.8%) participants belong to > 20 to 40 years.The mean BMI and standard deviation of the study participants was found to be 30.21 + 3.84. Out of various surgeries undergone by the study participants, 26 (49%) patients had undergone laparotomy and proceed, 25 (47.2%) of them had undergone laparoscopic cystectomy and 2 (3.8%) had TAH with BSO. On histopathological examination, 39.6% turned out to be serous cystadenoma, 13.2% granulosa cell tumors and 11.3 % simple ovarian cyst. Majority (46.4%) of the total serous cystadenoma was turned out to be in the age group of 20 to 40 years Conclusion: Ovarian cysts are widely seen in gynaecological practise, and pathologists see them as well. serous cystadenoma was the most common type of ovarian cyst, followed by granulose cell tumours.