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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-03
Retrospective Study of Clinical and Pathological Features of Benign Ovarian Tumors
Srinivas K, Harish babu B G, K V Malini
Published: May 25, 2015 | 101 81
DOI: 10.36347/sjams.2015.v03i03.001
Pages: 1046-1050
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Abstract
The aim of the study was to assess the patient profile, risk factors and incidence of various benign ovarian neoplasms. We conducted a retrospective study analyzing the data obtained of patients admitted to Obstetrics and Gynecology Department of Bangalore Medical College and Research Institute, Vani Vilas Hospital between July 2012 to July 2014 with ovarian masses. We selected patients with documented histopathology of benign ovarian neoplasms and excluded those with suspected malignancies and those whose histopathology revealed functional cysts and malignant ovarian tumors. A total of 114 cases were obtained. 80.7% patients were in the reproductive age group. 81% women were parous and 19 % were nulliparous. The incidence of same type of benign tumor was comparable in either group, however tertoma was seen more often in nulliparous than parous women. 14% patients were in postmenopausal age group. 5.2% patients were treated for infertility, the use of contraception was uncommon however 64% were sterilized. 73.6% had breast fed their children for atleast 2 years. More than 70% ovarian masses presented with vague or no symptoms. The Risk of Malignancy Index(ROMI)was <200 in Reproductive age group was 88% and in postmenopausal age group was 67%.Benign ovarian tumors are common in reproductive age group. Even in postmenopausal age group benign tumors are of common occurrence. These tumors are largely asymptomatic and hence need proper screening technique. ROMI has a good postive predictive value in detecting benign ovarian tumors. Contrary to etiology benign tumors were found more common in nulliaparous women.