Primary ovarian cancer: A five-year review.

ABSTRACT

This retrospective study reports on 187 cases of ovarian carcinoma treated at Siriraj Hospital over five-year period from 1988-1992. The incidence was 17.6% of all ovarian tumors. Common epithelium was the most common group found in this study (85%). A total of 9.1% of the patients were in the germ cell group and the rest were in the stromal cell group (5.9%). The mean ages of the common epithelium germ cell and stromal cell groups were 47.5+14, 28.6+17.4 and 56.9+18.3 years respectively. The common presenting symptom was either abdominal mass (40.1%) or abdominal bloating (32.6%). The tumors, which developed in nearly three-fourths of the patients (72.2%), were between 6.20 cm in greatest diameter. Serous, dysgerminoma and granulosa cell tumors were the most common cell types found in the common epithelium, germ cell and stromal cell groups respectively. Half of the patients (50.8%) were in an advanced stage of the disease and radical surgery was performed in 62.3% of the patients.