Frequency of benign and malignant ovarian tumours in a tertiary care hospital

ABSTRACT

To find out frequency of benign and malignant ovarian tumors in a single unit in a period of one year. This was a descriptive cross sectional hospital based study conducted in Gynae 'A' Unit, Lady Reading Hospital Peshawar from 1[st] January, 2002 till 31[st] December, 2002. Patients with ovarian tumors were admitted followed by a detailed case history and thorough clinical examination. All the relevant details were recorded on a questionnaire. Patients were investigated and after performing surgery, the specimens of ovarian tumors taken were subjected to histopathological examination in the Pathology Department, Lady Reading Hospital, Peshawar. Out of the total 5732 gynecological admissions in one year research period, the total number of patients with ovarian tumors was 71 [1.2%]. Hence the frequency of ovarian tumors was found to be 12.3/1000 for all the gynecological admissions. Out of 71 cases, 61[89.71%] were benign ovarian tumors and 7[10.29%] were malignant ovarian tumors. There were no tumors determined with borderline malignancy. In three cases the histopathology reports were not reviewed. The commonest benign tumour was follicular cysts [27.86%] followed by serous cyst adenoma [24.59%]. Common malignant ovarian tumours were granulosa cell tumours and endometriod carcinoma [each 28.5%]. Ovarian tumors constitute a significant proportion of gynecological admissions with benign tumors being more frequent than malignant ones