Histopathological Study of Ovarian Lesions at a Tertiary Health Care Institute

Background: Ovary is the commonest site of neoplastic and nonneoplastic lesion, can present in childhood to postmenopausal age group and accounts for the most prevalent cause of hospital admissions. Aim: This study was done to analyse the frequency of ovarian lesions their histological features in a tertiary health care centre. Materials and Methods: This is a prospective study of 143 ovarian lesions at tertiary care hospital over a period of 3yr. All the relevant data of patients analysed from hospital record file. Results: The total number of ovarian lesions studied during study period was 143 cases, amongst them 110 were non-neoplastic and remaining 33 were neoplastic. The most common non-neoplastic lesion seen was solitary follicular cysts i.e. 77 cases (70%), followed by corpus luteal cysts 14 cases (12.7%). Among the 33 neoplastic ovarian lesions 25(75.7%) cases were benign, 2(6.1%) case was at borderline and 6 (18.2%) cases were malignant. In benign ovarian neoplasm, most commonly seen lesion were serous cystadenoma followed by benign cystic teratoma. In malignant cases, maximum were of serous cystadenocarcinoma, followed by endometrioid carcinoma and 2 cases of sex-cord stromal tumours (fibromas) were observed metastatic tumours. Conclusion: Ovarian lesion possess wide gamut of histology. Specific diagnoses are made on routine gross and histological examination.