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

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Study Design: A Prospective, Observational study

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

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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

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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

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