Clinical presentation of ovarian tumors

To determine the frequency and various clinical presentations of ovarian tumors. Descriptive study. Department of Obstetrics and Gynaecology Sandeman Provincial Teaching Hospital Quetta, from January 2010 to December 2010. All patients with ovarian cysts and / tumors suspected on clinical grounds and investigations and later underwent laparotomy were included. The symptoms were grouped into various. categories like gastrointestinal, constitutional, urinary etc. The study included 65 patients. There were 50 [76%] benign and 15 [23%] malignant tumors. Seven patients with benign tumors were asymptomatic, while 90% had abdominal pain. Abdominal mass was present in 24% of the patients with benign tumors and in 66% with malignant tumors. Gastrointestinal symptoms were present in both the groups but frequency was higher in malignant tumors. Constitutional symptoms like loss of weight and appetite were reported in malignant group only. More than 75% of the malignant tumors presented in advanced stage of the disease [stages 3 and 4]. On histopathology benign cysts were mostly functional follicular/luteal cysts in nature [25%]. On the other hand histopathology of malignant tumors revealed that in majority of the patients tumors originated from epithelial surface [serous carcinoma 45% and mucinous carcinoma 25%].Women presented mostly in the advanced stages of malignancy. Symptoms were mostly nonspecific and vague

Histopathological findings of abdominal hysterectomies in patients presenting with heavy menstrual bleeding [HMB]

To determine the frequency of different histopathological findings in hysterectomy specimens in patients with heavy menstrual bleeding. Cross-sectional study This study was carried out in Gynae Unit III [Sandemen Provincial Teaching Hospital Quetta] from January 2009- December 2009. Two hundred abdominal Hysterectomy cases done for the treatment of heavy menstrual bleeding [HMB] were included in this study. An exclusion criteria was vaginal hysterectomies, abdominal hysterectomies done for complaints other than manorrhagia and malignancies. After hysterectomy specimen of uterus sent for histopathology. The age ranged from 30-55 years with maximum number [62.5%] of cases in 41-50 years of age group. The main presenting complaint of patients was heavy cyclical menstrual flow. Total abdominal Hysterectomies with bilateral salpingoophoroctomy done in 120patients, in 80 patients both ovaries conserved. There was no intra-operative complication. Mild post operative complications occurred in 15% of cases. There was no death. On histopathology leiomyoma was most common pathlogy found in 55% cases. No malignancy was detected on histopathology of the uterus. The study confirmed that benign diseases were more common in hysterectomy specimen performed for HMB. Uterine fibroids and adenomyosis are the most common benign conditions found in hysterectomy specimens on histopathological examination