Abstract

Ovarian tumors are common form of neoplasm in women, account for 30% of female genital tract cancers. Due to inefficient diagnosis, prognosis strategies mainly due to the lack of specific symptoms at the initial stage of the disease about 70% cases diagnose at advanced stage. The risk factors associated with ovarian tumors are age, genetic factors, positive family history, hormonal influences and reproductive factors. Incessant ovulation and gonadotrophin stimulation may play a role in development of ovarian cancer. Despite these screening methods, ovarian neoplasm carries the highest mortality among all the gynecological cancers as because early stages are asymptomatic. Material and Methods: The present entitled clinicopathological study of ovarian tumor is an institution based, descriptive and observational study conducted in Department of Obstetrics & Gynecology, MKCG Medical College & Hospital, Berhampur, Odisha from August 2020 to July 2022. The cases were selected basing on following inclusion and exclusion criteria after informed consent followed by meticulous history taking and clinical examination which included general and systemic, giving particular importance to abdominal, pelvic, breast, and lymph node examination followed by relevant investigations which includes routine investigations and special. After required investigation al underwent staging laparotomy followed by pathological evaluation of specimen, staging and treatment. Results : Epithelial tumors and benign germ cell tumors were more frequently encountered within 21 to 45 ages, whereas malignant germ cell tumors were encountered more below 20 years of age. Among the benign tumor, abdominal mass was the common mode of presentation in 40 cases (66.2%) whereas among malignant tumors, the common symptom was abdominal pain in 32 cases (76.2%). Most common symptoms among the borderline tumors was abdominal distension in 4 cases (66.7%). Out of 42 cases of malignant tumors, stage I, stage II, stage III and stage IV were found in 10 cases (23.8%), 8 cases (19%), 20 cases (47.6%), 4 cases (9.5%) respectively. On histological study, epithelial tumors were seen in 76 cases (70.4%), sex cord stromal tumor seen in 4 cases (3.7%), germ cell tumors seen in 24 cases (22.2%) and metastatic tumor seen in 4 cases (3.7%). Conclusion: Maximum numbers of cases were within the age group of twenty-one to forty-five years. The epithelial tumors were the major histological types among which majority were benign. Of the germ cell tumors mature cystic teratoma constituted is the most common. So any patient from any age group may be susceptible to ovarian tumor for which thorough evaluation with consideration of vague symptoms and suspiciousness in mind, are the corner stone’s to clinch the diagnosis early.

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