Incidence of Benign Ovarian Tumors in Rural Areas: A 10 Years Study in a Tertiary Care Hospital Nawabshah

Abstract

Objective: To determine the frequency of benign ovarian tumors attending the tertiary care hospital Nawabshah.

Study Design: Descriptive cross-sectional study.

Place and Duration of Study: This study was carried out in Department of Gynaecology & Obstetrics, at Peoples University Hospital Nawabshah, from Jan 2011 to the Dec 2011.

Materials and Methods: This study consisted of 419 patients of benign ovarian tumours admitted through the outpatient department, as well as from casualty department of Peoples University Hospital Nawabshah. Detailed history of duration of complain and clinical examination of the patient was done. All patients underwent for base line and specific investigations especially ultrasonography and biopsy sampling for assessment of histopathological examination. All patients in the reproductive age group between 15 to 60 years with any one or more presenting complains of ovarian tumors like abdominal mass, bloating, discomfort, pain or pelvic swelling were included. Exclusion criteria were patients more than 60 years of age , previous history of ovarian tumor and non-consenting women. Results were prepared with help of tables and graphs. Data was analyzed through SPSS software No.16.

Results: 419 patients included in this study . There was wide variation of age ranging from a minimum of 10 years to 60 years. The mean age was 31.68 + 5.45 years. In this study incidence of ovarian neoplasm slowly increase per year. Clinical examination of patients revealed that pain in abdomen was the commonest presenting symptom 396(94.5%) followed by mass per abdomen seen in 297(70.88%), bloating in 146(34.88%) and abdominal swelling in 167(39.85%). Histopathology findings revealed was serous cystadenocarcinoma in 182(43.4%) cases, mucinous cystadenoma 116 (27.7%) cases, mature teratoma 98(23.4%) cases,  thecoma  16(3.8%) cases, fibroma in 05(1.2%) cases and brenner tumor 02 (0.5%) cases.

Conclusion: In conclusion our study revealed that  histopathologically most common type is serous cystadenoma  followed by mucinous cystadenoma. The peak incidence of benign tumors was seen in the 3^rd and 4th decades of the life.