scholarly journals Histopathologic spectrum of cystic ovarian masses

2017 ◽  
Vol 6 (1) ◽  
pp. 16-20
Author(s):  
S Ranabhat ◽  
M Tiwari ◽  
S Maharjan ◽  
A Bhandari ◽  
M Subedi ◽  
...  
Keyword(s):  
Cystic Lesion ◽  
Cystic Teratoma ◽  
College Teaching ◽  
Serous Cystadenoma ◽  
Mature Cystic Teratoma ◽  
Ovarian Cysts ◽  
Histopathological Study ◽  
Cross Sectional ◽  
Follicular Cyst ◽  
Ovarian Masses

This research was a cross sectional analytic observational histopathological study of cystic ovarian lesions carried out over three years from March, 2012 to February, 2015 at Chitwan Medical College Teaching Hospital in Nepal. The objective of this study was to study cystic ovarian masses histopathologically. A total of one hundred and fourteen patients with cystic ovarian masses were included into the study. 46.5% lesions were non-neoplastic (83% physiologic and 17% pathologic) and 53.5% lesions were neoplastic (91.8% benign and 8.2% malignant). Follicular cyst was the most common ovarian cystic lesion overall, followed by mature cystic teratoma and serous cystadenoma. 14.9% of all the ovarian cysts had undergone torsion; among them mature cystic teratoma was the most common lesion to have undergone the complication. Neoplastic ovarian cysts were more common than non-neoplastic. Follicular cyst was the most common ovarian cyst overall. Mature cystic teratoma was the ovarian cystic lesion to be affected by torsion most commonly.

scholarly journals Histopathologic spectrum of cystic ovarian masses

2017 ◽  
Vol 6 (1) ◽  
pp. 16
Author(s):  
S Ranabhat ◽  
M Tiwari ◽  
S Maharjan ◽  
A Bhandari ◽  
M Subedi ◽  
...  
Keyword(s):  
Cystic Lesion ◽  
Cystic Teratoma ◽  
College Teaching ◽  
Serous Cystadenoma ◽  
Mature Cystic Teratoma ◽  
Ovarian Cysts ◽  
Histopathological Study ◽  
Cross Sectional ◽  
Follicular Cyst ◽  
Ovarian Masses

<p><span>This research was a cross sectional analytic observational histopathological study of cystic ovarian lesions carried out over three years from March, 2012 to February, 2015 at Chitwan Medical College Teaching Hospital in Nepal. The objective of this study was to study cystic ovarian masses histopathologically. A total of one hundred and fourteen patients with cystic ovarian masses were included into the study. 46.5% lesions were non-neoplastic (83% physiologic and 17% pathologic) and 53.5% lesions were neoplastic (91.8% benign and 8.2% malignant). Follicular cyst was the most common ovarian cystic lesion overall, followed by mature cystic teratoma and serous cystadenoma. 14.9% of all the ovarian cysts had undergone torsion; among them mature cystic teratoma was the most common lesion to have undergone the complication. Neoplastic ovarian cysts were more common than non-neoplastic. Follicular cyst was the most common ovarian cyst overall. Mature cystic teratoma was the ovarian cystic lesion to be affected by torsion most commonly.</span></p>

Clinico-pathological profile of ovarian cysts in a tertiary care hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 4642 ◽  
Author(s):  
Sairem Mangolnganbi Chanu ◽  
Biswajit Dey ◽  
Vandana Raphael ◽  
Subrat Panda ◽  
Yookarin Khonglah
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Cystic Teratoma ◽  
Serous Cystadenoma ◽  
Mature Cystic Teratoma ◽  
Ovarian Cysts ◽  
Histopathological Diagnosis ◽  
Care Hospital ◽  
North East

Background: Ovarian cystic neoplasms are common in gynaecological practice. These may pose diagnostic difficulty to the pathologists. This study was conducted to analyse the clinical and histological profile of ovarian cystic neoplasms.Methods: This is a retrospective study done from January 2016 to April 2017 in a tertiary care hospital in North East India. All the patients, who were clinically and radiologically diagnosed as ovarian cysts, which had histopathological confirmation were included in the study. Data including the age, parity, clinical symptoms, laterality and histopathological findings were analysed.Results: A total of 101 patients operated for ovarian cysts in the study period were analysed. The most common clinical presentation was lower abdominal pain. There were 11 (10.9%) malignant cases, 4 (4%) were intermediate grade and borderline in nature, and 85 (84.1%) cases were benign in nature. There was 1 (1%) case of metastasis to ovary. Mature cystic teratoma was most common (20.8%) histopathological diagnosis. The second most common cyst was serous cystadenoma (19.8%).Conclusion: Ovarian cysts are commonly encountered in gynaecological practice and equally encountered by the pathologists. Most commonly found ovarian cysts were mature cystic teratoma followed by serous cystadenoma.

Histopathological Analysis of Neoplastic and Non-Neoplastic Lesions of Ovary : A 4 Year Study in Eastern Nepal

2017 ◽  
Vol 2 (2) ◽  
pp. 168-174
Author(s):  
Mrinalini Singh ◽  
KK Jha ◽  
SU Kafle ◽  
R Rana ◽  
P Gautam
Keyword(s):  
Cystic Teratoma ◽  
Pelvic Mass ◽  
Abdominal Hysterectomy ◽  
Serous Cystadenoma ◽  
Mature Cystic Teratoma ◽  
Histopathological Analysis ◽  
Medical College ◽  
Follicular Cyst ◽  
Neoplastic Lesion ◽  
Neoplastic Lesions

IntroductionOvarian neoplastic and nontineoplastic lesions form a pelvic mass and cause gynaecological problems. Therefore, proper recognization and classification is important for appropriate therapy.ObjectiveTo study the morphological patiern and classify the neoplastic and nontineoplastic ovarian lesions in terms of age and size.MethodologyA retrospective study conducted at Sriram Diagnostic Clinic, Biratnagar, Nepal and Birat Medical College, Tankisinwari, Morang, Nepal during a period of March 2012 to February 2016. All abdominal hysterectomy specimens with bilateral or unilateral salpingo-oophorectomy and all ovarian surgeries presenting with either solid or cystic ovarian lesions were included in the study for histopathological analysis. Normal appearing ovaries on gross and microscopic examination were excluded from the study.ResultsA total of 522 cases were studied. Out of which 329 (63%) were non-neoplastic and 193 (37%) were neoplastic. Follicular cysts comprised of 112 (34%) cases, and it was the most common non neoplastic lesion. The age of patients with non-neoplastic lesions and neoplastic lesions varied from 16-54 years and 13-72 years respectively. Size of nonneoplastic and neoplastic lesions varied from 2-12 cm and 2- 19 cm respectively. Among the 193 neoplastic ovarian lesions, 181 (94 %) were benign, as well as 4 (2%) were borderline and 8 (4 %) were malignant. Mature cystic teratoma was the commonest benign tumor followed by Serous cystadenoma. Serous cystadenocarcinoma was the commonest occurring malignant tumor followed by Mucinouscystadenocarcinoma.ConclusionVarying types of both non neoplastic and neoplastic ovarian lesion were seen. Among the non-neoplastic and neoplastic lesion, the most commonly encountered lesion was follicular cyst and mature cystic teratoma respectively.Birat Journal of Health SciencesVol.2/No.1/Issue 2/ Jan - April 2017, Page: 168-174

scholarly journals Ovarian huge serous cystadenoma with torsion in adolescent girl: a case report

2017 ◽  
Vol 6 (3) ◽  
pp. 1151
Author(s):  
Shweta Avinash Khade ◽  
Sneha Shirodkar
Keyword(s):  
Differential Diagnosis ◽  
Adolescent Girl ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Emergency Laparotomy ◽  
Surgical Removal ◽  
Germ Cell Tumours ◽  
Serous Cystadenomas ◽  
Epithelial Tumours ◽  
Ovarian Masses

In adolescent Ovarian cysts are an extremely common gynaecological problem. Majority of ovarian cysts are benign with few cases being malignant. Ovarian serous cystadenomas are rare in children. A 14-year-old presented with severe abdominal pain and abdominal distention. She underwent emergency laparotomy and surgical removal, the mass was found to be torsion of ovarian serous cystadenoma-fibroma on histology. In conclusions, germ cell tumours the most important causes for the giant ovarian masses in children. Epithelial tumours should not be forgotten in the differential diagnosis.

scholarly journals Minimally Invasive Surgery at Paropakar Maternity and Women’s Hospital

2018 ◽  
Vol 12 (2) ◽  
pp. 16-20
Author(s):  
Gehanath Baral ◽  
Rijuta Joshi
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Histopathological Examination ◽  
Mucinous Cystadenoma ◽  
Cystic Teratoma ◽  
Laparoscopic Hysterectomy ◽  
Serous Cystadenoma ◽  
Cross Sectional ◽  
Benign Condition

Aims: The purpose of this study is to review the reintroduced minimally invasive surgical practice in the hospital after a couple of decades long gap. Methods: It is a two years (2015 to 2017) retrospective cross-sectional study carried out in Paropakar Maternity and Women’s Hospital. The patients with pre-operative diagnosis of benign condition underwent laparoscopic surgery; hysteroscopy was diagnostic and operative both. Data were collected by demographics, indication of surgery, nature of surgery, complications, hospital stay and histo-pathological reports. Data were entered in the SPSS and MS-excel. Results were presented as tables and graphs.Results: Sixty five and 39 women underwent laparoscopic surgery and hysteroscopy respectively. None of them had major complications and hospital stay was1-3 days in majority.  The most common age group was 31-35 years. Preoperative diagnoses of them were adnexal tumor in 47 women, fibroid uterus in six, AUB in two, ectopic pregnancies in four, PCOD in two and one women each with primary sub-fertility and POP Q II with elongated cervix. Laparoscopic cystectomy was performed on 25 women for the adnexal masses while 13 women underwent laparoscopic oophorectomy for the ovarian masses. Total laparoscopic hysterectomy was the second commonest surgery (n=12). On histopathological examination of the ovarian tissues, mature cystic teratoma was the commonest finding (n=18) followed by the endometriotic cysts (n=9), benign serous cystadenoma (n=7) and mucinous cystadenoma (n=4).  Conclusions: Laparoscopy and hysteroscopy procedures have become the alternative in surgical modality at this hospital.

scholarly journals Cystic lesions of pancreas: challenges in diagnosis and management

2016 ◽  
Vol 18 (3) ◽  
pp. 53
Author(s):  
S Bohara ◽  
TY Tamang ◽  
DK Maharjan ◽  
SK Shrestha ◽  
PB Thapa
Keyword(s):  
Cystic Lesion ◽  
Mucinous Cystadenoma ◽  
Pancreatic Head ◽  
College Teaching ◽  
Serous Cystadenoma ◽  
Pancreatic Tumors ◽  
Pancreatic Cysts ◽  
Cystic Lesions ◽  
Pancreatic Cystic Lesion ◽  
First Case

Introduction: Pancreatic cysts are common (2.5%). Cystic neoplasms represent 10% of cystic lesions and 1% of pancreatic tumors. However, it is difficult to differentiate benign cyst from malignant cystic lesions preoperatively.Objective: To study the cases of pancreatic cystic lesion who underwent various forms of pancreatic resection.Materials and Methods: Nine cases of pancreatic cystic lesion who presented to Kathmandu Medical College Teaching Hospital, Surgical Unit 3 within December 2014- November 2015 were evaluated. Four pancreatic cysts who underwent resection are discussed whereas not managed with resection are excluded.Results: There were 4 cases of pancreatic cyst who underwent pancreatic resection. First case underwent pancreaticoduodenectomy for pancreatic mucinous cystadenoma. However histopathological examination revealed a serous cystadenoma. In second case, pancreatic neck lesion suspected to be mucinous cystadenoma or pseudocyst in MRCP, with negative malignant cells in EUS guided FNAC underwent Central pancreatectomy and was found to be serous cystadenoma. The third case with suspected pseudocyst underwent Pancreaticoduodenectomy after a 3X2 cm2 cystic mass was felt at the posteroinferior side of pancreatic head and malignancy was suspected intraoperatively . HPE report was mucinous cystadenoma. The fourth case with pancreatic pseudocyst at tail with duct calculi and chronic pancreatitis underwent distal pancreatectomy with splenectomy with Frey’s procedure.Conclusion: Management of pancreatic cystic lesion is challenging. Though radiological imaging has limited role in accurate diagnosis, endoscopic ultrasound may be of some benefit.

scholarly journals A study of ovarian tumors at Kathmandu medical college teaching hospital

2017 ◽  
Vol 7 (2) ◽  
pp. 1188-1191 ◽  
Author(s):  
Sailesh Bahadur Pradhan ◽  
Sanat Chalise ◽  
Binita Pradhan ◽  
Sailuja Maharjan
Keyword(s):  
Germ Cell ◽  
Hospital Admissions ◽  
Germ Cell Tumour ◽  
Malignant Neoplasm ◽  
Cystic Teratoma ◽  
College Teaching ◽  
Cell Tumour ◽  
Germ Cell Tumours ◽  
Cross Sectional ◽  
Epithelial Tumours

Background: Ovarian cysts, which present as neoplastic and non-neoplastic lesions, are the most common gynecological cause of hospital admissions. This study was conducted to know the spectrum of ovarian tumors.Materials and methods: A cross sectional study was carried out among all the ovarian specimens sent for histopathological examination.Results: Forty two cases were Surface epithelial tumours and 49 cases were germ cell tumour. Among Surface epithelial tumours, 34 (80.95%) were benign neoplasm, 2(4.76%) were borderline and 6 including one Krukenberg tumour (14.29%) were malignant neoplasm. Among all Germ cell tumours, 45 (91.84%) were Mature cystic teratoma, 1 (4.08%) was Immature cystic teratoma and 2 (4.08%) were Dysgerminoma. Conclusion: Incidence of Surface epithelial tumours and germ cell tumours were found to be almost equal with mild predominance of Germ cell tumour.

scholarly journals Squamous Cell Carcinoma Arising in Mature Cystic Teratoma of the Ovary: A Case Report with Review of Literature

2011 ◽  
Vol 3 (3) ◽  
pp. 135-137
Author(s):  
R Kalyani ◽  
BN Gayathri ◽  
K Vidyavathi
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Malignant Transformation ◽  
Germ Cells ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Secondary Development ◽  
Review Of Literature ◽  
Ovarian Masses

ABSTRACT Up to a quarter of ovarian masses originate from germ cells and many of these are mature cystic teratomas (MCT). The secondary development of malignancy is a rare but well-known phenomenon in patient with ovarian teratomas. The incidence of malignant transformation in mature cystic teratoma of the ovary is less than 2% as reported in gynecological and pathological literature. Here, we present a case of malignant transformation in MCT of the ovary.

scholarly journals Laparoscopic Surgery in Elderly Patients Aged 65 Years and Older with Gynecologic Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Haruhiko Kanasaki ◽  
Aki Oride ◽  
Kohji Miyazaki
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Complications ◽  
Elderly Patients ◽  
Ovarian Tumor ◽  
Mucinous Cystadenoma ◽  
Cystic Teratoma ◽  
Serous Cystadenoma ◽  
Histological Diagnosis ◽  
Mature Cystic Teratoma ◽  
Surgery In Elderly

Objectives. The study was conducted to characterize the use of the laparoscopic surgery in elderly patients. Methods. The medical records of elderly patients aged ≥65 years who underwent laparoscopic surgery were retrospectively reviewed for diseases, surgical procedures, histological diagnosis, intraoperative and postoperative complications, and reasons for presentation. Results. Of the 405 patients who underwent laparoscopic surgery between January 2005 and March 2012, 41 (10.1%) were aged ≥65 years. The most common disease treated by surgery was ovarian tumor, followed by uterine prolapse. Histological diagnosis of ovarian tumor specimens obtained from 23 patients included serous cystadenoma (44.0%), mature cystic teratoma (20.0%), mucinous cystadenoma (20.0%), and endometrioma (4%). In contrast, in the non-elderly group, the most common histological diagnosis was endometrioma (42.9%), followed in order by mature cystic teratoma (28.3%), serous cystadenoma (18.0%), and mucinous cystadenoma (4.7%). While 23.7% of the non-elderly patients required emergency laparoscopic surgery, none of the elderly patients required emergency surgery. Only 1 of 27 patients who underwent surgery for an ovarian or adnexal mass presented with abdominal pain. No one developed serious intraoperative or postoperative complications. Conclusion. Laparoscopic surgery can be safely performed in elderly patients. It should be noted, however, that few elderly patients with benign pelvic mass manifest symptoms before undergoing surgery.

scholarly journals Histopathological diagnosis of ovarian mass

2018 ◽  
Vol 8 (1) ◽  
pp. 1261-1264
Author(s):  
Shahali Shadab ◽  
Tadayon Tadayon
Keyword(s):  
Malignant Tumors ◽  
Histopathological Examination ◽  
Age Groups ◽  
Germ Cell Tumors ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Benign Tumors ◽  
Histopathological Diagnosis ◽  
Hospital Data ◽  
Ovarian Masses

Background:  Ovarian cysts are common forms of gynecological problems that can be range from physiological cysts to highly aggressive neoplastic lesions. The purpose of this study was to investigate prevalence and frequency of different histopathological patterns of ovarian lesions and their correlation with various parameters in Ahvaz, Iran.Materials and Methods: This is the retrospective study of patients with the ovarian masses at Ahvaz Imam Khomeini Hospital from 2010 - 2015. The relevant clinical details about the patient were retrieved from hospital data. Clinical characteristics of patients such as patient's age, presenting signs and symptoms, histopathological diagnosis, mass type, mass subtype, size of cysts and ovary which is involved were noted. Results: Two hundred sixty seven specimens of ovarian tumor obtained for histopathological examination. Of these, 163(61.0%) were tumor like, 96(36.0%) were benign tumor and 8(3.0%) were malignant. The most common tumor like conditions was Corpus luteum cyst (43.4% cases), among benign and malignant tumors, mature cystic teratoma (17.2% of total) and Epithelial tumors (n=4) were most common. There is a statistically significant positive relation between age and various ovarian masses. (P= 0.002). Histopathological diagnosis wasn't correlated with ovarian involvement.Conclusion: Benign tumors are more common than malignant tumors in all age groups. Germ cell tumors followed by surface epithelial cell tumors are the commonest tumor. Mature cystic teratoma was the most common tumor. Unilaterality is more frequently seen in ovarian tumors and various tumors are seen in various age groups.

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