ABSTRACT
Objective: To observe the various presentations,clinical course and outcome of patients presentingwith ovarian cysts/ tumors
Study Design:Observational study
Study Period: March 2010-March 2012
Setting: Department of Obstetrics andGynaecology, Punjab Employees Social SecurityHospital [PESSI], Islamabad
Methods: Thirty onepatients presented in Gynae department with ovariancyst/ tumor or incidentally found to have a cystduring work up for other problems were included inthe study. Their clinical presentations, associatedproblems, course of their management and outcomes were observed. The histopathology reports ofthe surgically managed patients were also collectedin the data
Results: Most of the patients were inreproductive age group and multipara. Thecommonest presentation was acute abdominal painin 12 [38.70%] patients, followed by chronic pelvicpain in 7 [22.58%] patients, menstrual problems in 4[12.90%], patients and postmenopausal bleeding in3 [9.57%]. two [6.45%] patients were incidentallyfound to have complex ovarian cysts during work upfor infertility. Another 6.45% patients presentedwith enlarged ovaries with multiple clear ovariancysts as a result of ovulation induction. Two patientshad adenocarcinoma. Out of them, one presentedwith recurrence. Corpus luteal cyst was thecommonest histopathological diagnosis [55%],followed by endometrioma [44%]. Ten patients[32.25%] were managed conservatively, whilesurgery was performed in 21 [67.75%] patients
Conclusion: Ovarian cysts are common inreproductive age group. Most of them are benignand respond to conservative management, providedthey are clear, with no signs of acute complicationsin these cases. Unnecessary surgery can be avoidedwith proper monitoring and selection of patients.Surgery is mandatory however in post- menopausalage group because of increased chances ofmalignancy