Histomorphological pattern of neoplastic and non-neoplastic lesions of ovary in Ajmer region of Rajasthan, India
Dr. Rohit Singh Jaggi, Dr. Ravikant Sunaria, Dr. Geeta Pachori and Dr. Tushar Bayla
Background: The ovarian lesions manifest as a wide spectrum of clinical, morphological and histological features. Many ovarian lesions comprise neoplastic conditions, benign, borderline or malignant that may be life threatening if not urgently diagnosed and dealt with. Certain non-neoplastic lesions of ovary frequently form a pelvic mass and potentially mimic an ovarian neoplasm.
Materials and Methods: The prospective study of 2 years was conducted on surgically resected ovarian specimens from June 2019 to June 2021 received in the Department of Pathology, Jawaharlal Nehru Medical College and Associated Groups of Hospital, Ajmer (Rajasthan).
Results: Out of 280 cases studied, 120 (42.85%) were Neoplastic and 160 (57.14%) were Non-Neoplastic. In neoplastic lesions 80 were benign tumours, 32 were malignant, Borderline were 8. The commonest presentation was abdominal pain followed by mass per abdomen. Most of the ovarian lesions were unilateral 249 (88.92%) out of which 118 (42.14%) were Left sided and 131 (46.78%) were Right sided and 31 (11.07%) had Bilateral presentation. In neoplastic lesions, Surface Epithelial Stromal Tumours contributing to 83 cases, out of them Serous Cystadenoma were the most common (33 cases), in Sex Cord Stromal Tumours Fibroma Ovary was 2 cases, in Germ Cell Tumours, Mature Cystic Teratoma were 27 cases. In non-neoplastic lesions, Cystic Follicle (44 cases) was most common followed by Follicular Cyst (25 cases) and Corpus Luteal Cyst (23 cases).
Conclusion: Overall Non-neoplastic lesions of ovary were more commonly seen than neoplastic lesions. Both types of lesions often present with similar complaints, clinical and radiological features. So histopathological study is essential to diagnose ovarian lesions and predict their prognosis.