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A clinico-pathologic study of ovarian neoplasm
T D Gopeesingh1, J Rahaman, D Charran
1Department of Obstetrics and Gynaecology, University of the West Indies, Mt. Hope Maternity Hospital, St. Joseph (Trinidad).
Summary
Benign cystic teratomas were the most common ovarian neoplasms in this study, affecting younger women. A notable 8.3% incidence of malignant transformation was observed in these benign tumors.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
Background:
- Ovarian neoplasms represent a diverse group of tumors with varying clinical presentations and outcomes.
- Benign cystic teratomas are the most frequent germ cell tumors of the ovary.
Purpose of the Study:
- To review the types, incidence, and clinical characteristics of ovarian neoplasms.
- To investigate the age distribution and malignant potential of different ovarian cyst types.
Main Methods:
- Retrospective review of 96 patients with 120 ovarian neoplasms diagnosed surgically.
- Analysis of tumor types, patient demographics, and presenting symptoms.
Main Results:
- Benign cystic teratoma was the most common neoplasm (30%), predominantly in women aged 20-30.
- Mean patient age for mucinous cyst adenoma and benign cystic teratoma was significantly lower than for serous cyst adenoma.
- Ovarian malignancies occurred in 8.3% of cases, with no bilateral malignancies. A significant 8.3% incidence of malignant change was noted in benign cystic teratomas.
- Abdominal pain and swelling were the most frequent symptoms for benign ovarian neoplasms.
Conclusions:
- Benign cystic teratomas are the most common ovarian neoplasms, particularly in younger women.
- While generally benign, a significant proportion of benign cystic teratomas can undergo malignant transformation.
- Awareness of these findings is crucial for timely diagnosis and management of ovarian neoplasms.