ABSTRACT
Introduction: Ovarian tumors are now the one of the leading cause of death involving a wide spectrum of clinical, morphological and histopathological diagnosis. It frequently does not result in symptoms until the tumor has spread extensively and pose difficulties to clinicians. Objectives: The aim was to study the incidence and histopathological spectrum of ovarian tumors according to WHO classification in different age group and its clinical correlation. Materials and methods: A study was undertaken during a period of May 2011 to December 2017. The tumors were classified according to WHO classification after thorough examination of H&E slides. Data of clinical presentation of patient was also recorded in each case. Results: There were total 162 cases were studied, amongst which surface epithelial tumors were the commonest variety accounting for 126(77.7%) cases, followed by Germ cell tumors 30(18.5%) cases and Sex-cord stromal tumors 6(3.8%) cases. Benign tumors (93.2%) were more common than malignant (6.2%) and borderline (0.6%). Among benign tumors, serous cystadenoma (57.4%) were the most common followed by mucinous cystadenoma (16%) and mature teratoma (16%). Most of the ovarian tumors were unilateral (89.5%) with left sided predominance (49.4%). Majority of benign tumors presented with cystic consistency (67.9%) and mixed consistency (4.3%) in malignant tumors. The age range was 4 year to 70 years. Abdominal pain (48.8%) was the commonest clinical presentation. Conclusion: Ovarian tumors were found to occur in wide range of age with bimodal peak for malignant tumors. Benign tumors were more common across the all age group. An accurate histopathological diagnosis and staging is important for therapeutic and prognostic purpose.
ABSTRACT
Background: Fine Needle Aspiration Cytology (FNAC) is simple, quick, inexpensive and minimally invasive OPD technique used to diagnose different types of swellings located in the neck. Aims & Objective: (1) To assess the distribution of various cytomorphological patterns of cervical lymphadenopathy; (2) To assess the age specific distribution of various cytomorphological patterns of cervical lymphadenopathy. Materials and Methods: This study was carried out at GMERS Medical College and Hospital, Valsad, on 196 clinically diagnosed cases of cervical lymphadenopathy over a period of two years from January 2010 to December 2011.FNAC was carried out in all these patients. Fine Needle Aspiration Diagnosis was correlated with details of relevant clinical findings and investigation. Results: Total 196 cases were studied, out of these 173 (88.26%) were found inflammatory and 23 (11.73%) were neoplastic. Tuberculosis was the most common disease found in 109 (55.61%) patient followed by chronic nonspecific lymphadenitis 49 (25.00%), Metastatic tumours 21 (10.71%), acute lymphadenitis 15 (7.65%), Lymphoma 2 (1.02%). Highest incidence of cervical lymphadenopathy was found inpatients of 11 to 30 years age group. Conclusion: Fine Needle Aspiration Cytology is easy, simple, safe, reliable and non-invasive procedure for diagnosis of cervical lymphadenopathy and easy way for surgeon to decide whether to go for surgery or not.