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Histopathological analysis of non-neoplastic lesions of ovary: A study at tertiary care hospital in western region of India

Palak J Modi, Jignasa N Bhalodia, Nilesh M Shah.

Background: Ovarian lesions being asymptomatic in nature and very difficult to distinguish between benign or malignant by radiology or clinically, histopathological analysis becomes necessary. Nowadays, due to changing lifestyle and environment, we need to study the pattern and frequency of ovarian lesions in our region as well as globally.

Objective: The objective of this study was to study the histopathological pattern of non-neoplastic lesions of ovary and to ascertain the frequency and distribution of the non-neoplastic lesions of ovary.

Materials and Methods: This is a study of ovarian nonneoplastic lesions at tertiary care hospital over a period of 5 years. A total of 308 ovarian lesions were studied. Specimens were received in formalin and hematoxylin and eosin stained slides were examined.

Results: Of 308 ovarian lesions studied, 67.53% of lesions found to be non-neoplastic. The non-neoplastic cysts commonly encountered are the follicular cysts (12.5%), simple serous cyst (49%), corpus luteum cysts (16.82%), endometriotic cysts (9.13%) and hemorrhagic cysts (2.88%), inclusion cyst (2.4%), and one rare case of hydatid cyst in our study. Non-cystic lesions which include congestion/edema (2.88%), non-specific inflammation (1.92%), granulomatous inflammation (1.44%), and one case of luteoma.

Conclusion: The most common non-neoplastic lesion was simple serous cyst (49%) followed by corpus luteal cyst (16.82%), follicular cyst (12.5%), and endometriosis (9.13%). Most commonly involved age group is 2049 years.

Key words: Non-neoplastic; Ovarian Cyst; Ovarian Lesions

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