Clinical and histopathological profile of patients with ovarian cyst presenting in a tertiary care hospital of Kashmir, India

Rizwana Habib Kant, Shagufta Rather, Sabia Rashid


Background: Ovary is the commonest site of physiological and pathological lesions which can present in any age group and are common gynaecological problems encountered by gynaecologists in their daily practice.

Aims: To find the clinical and histopathological profile of patients with ovarian cysts in Kashmir valley and to determine regional variation if any.

Methods: This was an observational study conducted in the Postgraduate Department of Gynaecology and Obstetrics, Lalla Ded Hospital, Government Medical College over a period of two years from March 2014 to March 2016 of 160 patients after obtaining ethical clearance from the institutional ethical committee. All the cases of ovarian cysts sent for histopathological examination were included in the study. Data included age, parity, clinical symptoms, intra-operative findings and histopathological findings.

Results: The mean age of presentation was 33.9 years. Most ovarian tumours occurred in 30 - 39 years of age. Dull abdominal pain was the most common clinical presentation.  Of the 160 patients studied, the incidence of benign tumour was 71.87%, borderline tumour was 1.9% and malignant tumour was 28.12%. The most common type of ovarian cysts was serous cystadenoma (22.5%) followed by mucinous cystadenoma (19.4%). Bilateral ovarian involvement was seen in 13.1% cases.

Conclusions: Benign ovarian tumours were more common than malignant ones in all age groups. A higher incidence of malignancy was observed in our study as compared to other studies, showing regional variations and highlighting the need to identify region specific risk factors.


Ovarian cyst, Benign, Malignant, Regional variation

Full Text:



Pudasaini S, Lakhey M, Hirachand S, Akhter J, Thapa B: A study of ovarian cyst in a tertiary hospital of Kathmandu valley. Nepal Med Coll J. 2011;13(1):39-41.

Ramesh N, Arya A, Kusum N, Agarwal K, Agarwal A, Singh S. Overview of benign and malignant tumours of female genital tract. Journal of Applied Pharmaceutical Science. 2013;3(01):140-9.

Kumar P, Malhotra N. Jeffcoate’s Principles of Gynaecology - Seventh edition. 2008.

Berek and Novak’s Gynaecology, 15th edition. Lippincott Williams and Wilkins, 2012, 1560 pp

Kayastha S. Study of ovarian tumors in Nepal Medical College Teaching Hospital. Nepal Med Coll J. 2009;11:200-2.

Mankar DV, Jain GK. Histopathological profile of ovarian tumours: A twelve year institutional experience. Muller J Med Sci Res. 2015;6:11.

Kanthikar SN, Dravid NV, Deore PN, Nikumbh DB, Suryawanshi KH. Clinico-Histopathological Analysis of Neoplastic and Non-Neoplastic Lesions of the Ovary: A 3-Year Prospective Study in Dhule, North Maharashtra, India J Clin Diagn Res. 2014;8(8):FC04-7.

Zaman S, Majid S, Hussain M, Chughtai O, Mahboob J, Chughtai S. A retrospective study of ovarian tumours and tumour-like lesions. J Ayub Med Coll Abbottabad. 2010;22:104-8.

Jha R, Karki S. Histological pattern of ovarian tumours and their age distribution. Nepal Med Coll J. 2008;10:81-5.

Powari M, Dey P, Gupta SK, Saha S. Metastatic tumors of the ovary: a clinicopathological study. Indian J Pathol Microbiol. 2003;46:412-5.

Choi HJ, Kim SH, Kim SH. Ruptured corpus luteal cyst: CT findings. Korean J Radiol. 2003;4:42-5.