DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20174418

A retrospective study on surgical management of ovarian tumours in a teritary care semiurban hospital

S. Divya Ranjitha, Kavitha Karthikeyan, Amrita Priscilla Nalini

Abstract


Background: The prevalance of ovarian tumors is around 1-3%. The accurate diagnosis and appropriate management of ovarian tumors is a real challenge to gynaecologists. The aim of the study was to analyse the risk factors, clinical presentation, surgical procedure and histopathological report in patients with surgically managed ovarian tumours.

Methods: We conducted a retrospective study by collecting the data of patients operated in the department of Obstetrics and Gynecology at Chettinad Hospital and Research Institute, Kelambakkam. A total of 118 case records were studied.

Results: 20.3% were nulliparous. 79.7% were multiparous. 10.2% were <20 years, 47.2% were 20-40 years, 39.2% were 40-60 years, 3.4% were >60 years. 72.9% were premenopausal. 27.1% were postmenopausal. 25.4% presented with acute abdominal pain, 11.9% with mass abdomen, 30.5% with chronic pain abdomen and 32.2% were incidentally diagnosed. 20.4% underwent ovarian cystectomy, 18.6% ovariotomy, 30.5% salpingoophorectomy and 30.5% total abdominal hystrectomy with bilateral salpingoophorectomy. Most common histopathology report was simple cyst in 44.%. 31.3% had serous cystadenoma, 9.3% had mucinous cystadenoma, 9.3% had teratoma, 2.5% had brenner tumour, 1.7% borderline tumours and 1.7% malignancy (Serous cystadenocarcinoma).

Conclusions: Elective surgical management of ovarian tumours is better option for reducing emergency laparotomies for torsion and rupture and also for obtaining a conclusive histopathological diagnosis in suspicious cases. The choice between laparoscopy and laparotomy should made after making appropriate preoperative evaluation.


Keywords


Frozen section, Laparoscopic surgeries, Ovarian tumours

Full Text:

PDF

References


Berek JS, Berek and Novak’s Gynaecology 15th edition, Lippincott Williams and Wilkins; 2011.

Rock JA, Jones HW, Te Linde’s Operative Gynaecology, 10th edition, Lippincott Williams and Wilkins; 2011.

Kotani Y, Umemoto M, Tobiume T, Shiota M. Ovarian tumour cases that were preoperatively diagnosed as benign but postoperatively confirmed as borderline or malignant after laproscopic surgery.Gynecology and minimally Invasive Therapy. 2013;2:122-5.

Kumar P, Malhotra N. Jeffcoate’s Principles of Gynaecology, Jaypee Brothers Medical Publishers (P) Ltd., 7th ed;2008.

Purdie DM, Bain CJ, Siskind V, Webb PM, Green AC. Ovulation and risk of epithelial ovarian cancer. Int J Cancer; 2003;104(2):228-32.

Srinivas K, Harish Babu BG, Malini KV. Retrospective study of clinical and pathological features of Benign Ovarian Tumours. Sch J App Med Sci. 2015;3:1046-50.

Shiota M, Mitsuhashi N. National investigation on the rates of open surgery and laparoscopic surgery. Gynecologic and Obstetric surgery. 2010;21:127-31.

Rulin MC, Preston AL. Adnexal masses in postmenopausal women. Obstet Gynecol. 1987;70:578-81.

Gol M, Baloglu A, Yigit S, Dogan M, Aydin C, Yensel U. Accuracy of frozen section diagnosis in ovarian tumors: is there a change in the course of time?. Internat J Gynecologic Cancer. 2003;13(5):593-7.

Demeter A, Csapo Z, Szantho A, Balega J, Sipos N, Papp Z. A retrospective study of 27 ovarian tumors of low malignant potential. European J Gynaecol Oncol. 2001;23(5):415-8.

Sunanda N, Akhila MV, Ovarian tumours associated with pregnancy: a five yera retrospective study in a teritiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2015;4(6):1965-9.

Cochrane Update. Oral contraceptives for functional ovarian cysts. Obstet Gynecol. 2009;114:679-80.