A study of epidemiological and clinical profile of ovarian neoplasms at a tertiary care hospital

Authors

  • Priyadarshika M. Department of Obstetrics and Gynecology, Malla Reddy Medical College for Women, Suraram, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20181936

Keywords:

Infertility ovarian neoplasm, Pregnancy, Torsion

Abstract

Background: The cancer of the ovaries tends to remain asymptomatic. Hence better understanding of the natural history of disease is essential for prevention. The objective of the present study was to observe the epidemiological and clinical profile of women with ovarian neoplasms at a tertiary care hospital.

Methods: A hospital based cross sectional study was carried out among women of age up to 35 years presenting to the Obstetrics and Gynecology Department of our hospital during the study period of two years. It was possible to study a total of 56 women in the present study as per the inclusion and exclusion criteria laid down for the present study.

Results: T It was found that maximum cases were in the age group of 26-30 years (42.9%). Majority of the women were nulliparous (46.5%). The most commonly reported symptom of ovarian tumor was abdominal pain in 62.5% of the cases. 50% of women having menstrual symptoms complained of amenorrhea. There were 11 cases associated with pregnancy. Among them, four (36.4%) were of dermoid cyst. There were 9 cases of torsion. Among them maximum (55.6%) were of dermoid cyst. Maximum tumors (92.9%) were unilateral. Maximum tumors (73.2%) were of size less than 10 cm. maximum tumors (53.6%) were cystic with solid component. Ascites was seen in 14.2% of the cases.

Conclusions: As the age increased the incidence of the ovarian neoplasms also increased. Bilaterality, small size and cystic nature were the most common features of the ovarian neoplasms. Though majority was simple, complications like torsion, association with pregnancy can be seen and hence thorough investigations are needed.

Metrics

Metrics Loading ...

References

Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. Lyon, France: International Agency for Research on Cancer, 2013[2016-09-09].

Chen WQ, Zheng RS, Baade PD, Zhang SW, Zeng HM, Bray F, et al. Cancer statistics in China, 2015. CA Cancer J Clin. 2016;66:115-32.

American Cancer Society. Cancer Facts & Figures 2015. Atlanta: American Cancer Society, 2015.

Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Waldron W, et al. SEER Cancer Statistics Review, 1975–2008, National Cancer Institute. Bethesa, MD, http://seer.cancer.gov/csr/1975_2008/,

Allemani C, Weir HK, Carreira H, Harewood R, Spika D, Wang XS, et al. Global surveillance of cancer survival 1995-2009: analysis of individual data for 25676887 patients from 279 population-based registries in 67 countries (CONCORD-2) Lancet. 2015;385:977-1010.

Ferlay J, Autier P, Boniol M, et al. Estimates of the cancer incidence and mortality in Europe in 2006. Ann Oncol. 2007;18:581-92.

Adami HO, Hsieh CC, Lambe M, et al. Parity, age at first childbirth, and risk of ovarian cancer. Lancet. 1994;344:1250-4.

Purdie DM, Webb PM, Siskind V, Bain CJ, Green AC. The different etiologies of mucinous and nonmucinous epithelial ovarian cancers. Gynecol Oncol. 2003;88:S145-8.

Jordan SJ, Whiteman DC, Purdie DM, Green AC, Webb PM. Does smoking increase risk of ovarian cancer? A systematic review. Gynecol Oncol. 2006;103:1122-9.

Risch HA, Marrett LD, Howe GR. Parity, contraception, infertility, and the risk of epithelial ovarian cancer. Am J Epidemiol. 1994;140:585-97.

Goff BA, Mandel LS, Melancon CH, Muntz HG. Frequency of symptoms of ovarian cancer in women presenting to primary care clinics. J Am Med Assoc. 2004;291:2705-12.

Hamilton W, Peters TJ, Bankhead C, Sharp D. Risk of ovarian cancer in women with symptoms in primary care: population based case-control study. Br Med J. 2009;339:b2998.

Hippisley-Cox J, Coupland C. Identifying women with suspected ovarian cancer in primary care: derivation and validation of algorithm. BMJ 2011 ;344:d8009.

Permuth-Wey J, Sellers TA. Epidemiology of ovarian cancer. Methods Mol Biol. 2009;472:413-37.

La Vecchia C. Ovarian cancer: epidemiology and risk factors. Eur J Cancer Prev. 2017;26:55-62.

Riman T, Dickman PW, Nilsson S, Correia N, Nordlinder H, Magnusson CM et al. Risk factors for epithelial borderline ovarian tumors: results of a Swedish case-control study. Gynecol Oncol 2001;83:575-85.

Huusom LD, Frederiksen K, Hogdall EV, Glud E, Christensen L, Hogdall CK et al. Association of reproductive factors, oral contraceptive use and selected lifestyle factors with the risk of ovarian borderline tumors: a Danish case-control study. Cancer Caus Cont. 2006;17:821-9.

Soeggard M, Jensen A, Hogdall E, Christensen L, Hogdall C, Blaakaer J et al. Different risk factor profiles for mucinous and nonmucinous ovarian cancer: results from the Danish MALOVA study. Cancer Epidemiol Biomarkers Prev. 2007;16:1160-6.

Downloads

Published

2018-04-28

How to Cite

M., P. (2018). A study of epidemiological and clinical profile of ovarian neoplasms at a tertiary care hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 7(5), 1953–1957. https://doi.org/10.18203/2320-1770.ijrcog20181936

Issue

Section

Original Research Articles