Abstract
Introduction: Gynecological morbidity is defined as any condition, disease, or dysfunction of thereproductive system which is not related to pregnancy, abortion, or childbirth. A significant numberof ovarian lesions have been known to cause Gynecological morbidity among most females. With theincreased use of screening modalities, ovarian lesions have increasingly been encountered forpathological analysis. It is important to evaluate the pattern of clinical presentation, corroboratingwith histological diagnosis. Purpose: The present study was carried out to evaluate thehistomorphological spectrum of various ovarian lesions among women in Puducherry. Material andMethods: This retrospective study was conducted on 350 ovarian samples received for five years inthe Department of Pathology, of our tertiary teaching hospital. Clinicopathological data wereretrieved from the hospital records. The histomorphological analysis was reviewed and neoplasticand non-neoplastic ovarian lesions were segregated according to the World Health Organizationclassification. Results: Based on histology, the predominant ovarian lesions diagnosed were non-neoplastic conditions including simple and follicular cyst, corpus luteal cyst, corpus hemorrhagiccyst, and cystic follicles constituting 40.6% on the right side and 34% on the left side. Malignancywas predominant on the right side (1.7%) while the same was 0.6% on the left side. Conclusion:The present study has identified that non-neoplastic lesions are more common in ovaries thanneoplastic lesions and it has identified that serous cystadenomas are the most common ovarianneoplastic lesions.
Highlights
Gynecological morbidity is defined as any condition, disease, or dysfunction of the reproductive system which is not related to pregnancy, abortion, or childbirth
The present study has identified that non-neoplastic lesions are more common in ovaries than neoplastic lesions and it has identified that serous cystadenomas are the most common ovarian neoplastic lesions
With a wide range of clinical manifestations and poor access to health care facilities, it is important to evaluate the pattern of clinical presentation, corroborating with histological diagnosis of ovarian lesions [1]
Summary
Gynecological morbidity is defined as any condition, disease, or dysfunction of the reproductive system which is not related to pregnancy, abortion, or childbirth. A significant number of ovarian lesions have been known to cause Gynecological morbidity among most females. It is important to evaluate the pattern of clinical presentation, corroborating with histological diagnosis. Purpose: The present study was carried out to evaluate the histomorphological spectrum of various ovarian lesions among women in Puducherry. The histomorphological analysis was reviewed and neoplastic and non-neoplastic ovarian lesions were segregated according to the World Health Organization classification. Conclusion: The present study has identified that non-neoplastic lesions are more common in ovaries than neoplastic lesions and it has identified that serous cystadenomas are the most common ovarian neoplastic lesions. With a wide range of clinical manifestations and poor access to health care facilities, it is important to evaluate the pattern of clinical presentation, corroborating with histological diagnosis of ovarian lesions [1]. India has the 2nd highest burden of ovarian cancers with poor survival outcomes, demonstrating low survival after 5 years (29%) [6]
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