Frequency of ovarian malignancy in patients reporting with ovarian cysts

Objectives: To Investigate the frequency and type of ovarian cancer amongst patient who underwent surgery for ovarian cyst diagnosed on ultrasound

Study Design: A Prospective, Observational study

Place And Duration: 1st June 2002 to 31st May 2003. Fauji Foundation Hospital, Rawalpindi

Methodology: A total of 90 patients diagnosed as having ovarian cyst larger than 5X5 cm size were recruited from the outdoor patients department of Obstt/Gynae of Fauji Foundation Hospital. Their details were entered into a predesigned performa. All these patients underwent laparotomy after having detailed ultrasound of abdomen and pelvis. Their histopathology reports were followed up and the final analysis of the data was done

Results: In our study cases malignancy was reported in 18% [n=17] of the cases. Most common benign tumor was serous cyst adenoma 14.4 %[n = 13] while 5.5 % [n=5] had malignant serous cyst adenocarcinoma

Conclusion: All the patients reporting with ovarian cyst larger than 5cm should be carefully evaluated for malignancy

comparison of efficacy and safety of vaginal misoprostol and dinoprostone for labour induction

To prove the efficacy of misoprostol for labour induction, to ascertain its safety and to determine the frequency of complications of the vaginal use. An interventional comparative study. April 2004 to March 2005. Fauji Foundation Hospital, Rawalpindi. The study was conducted for induction of labour at term by using two different kinds of labour induction agents [Dinoprostone and Misoprostol]. A total of 112 women were included in this study. With the vaginal use of these two drugs, data regarding obstetrical, fetal and neonatal outcomes was collected and analyzed. The mean induction to delivery interval was lesser in misoprostol group as compared to dinoprostone group [11.14 +/- 3.47 hrs versus 15.05 +/- 5.21hrs, p-value: <0.01]. Cesarean section rate was higher in dinoprostone group as compared to misoprostol group [30.35% vs 21.42%,]. Tachysystole and hyper stimulation were experienced more frequently in misoprostol group but was statistically insignificant [p-value: > 0.05]. The Apgar score of neonates in both groups was comparable at one minute [6.96 +/- 1.40 vs 7.18 +/- 1.08, and at 5 minutes [8.48 +/- 0.83 vs 8.66 +/- 0.64] Both misoprostol and dinoprostone appear to be effective agents for labour induction, but misoprostol has shorter induction to delivery interval, requires less oxytocin and has comparable neonatal outcomes