Yasmin Jaffar, Naila Ehsan, Ambreen.
Clinical Presentation of Ovarian Tumors.
J Surg Pak Jan ;18(2):82-5.

Objective: To determine the frequency and various clinical presentations of ovarian tumors. Study design: Descriptive study. Place & Duration of study: Department of Obstetrics & Gynaecology Sandeman Provincial Teaching Hospital Quetta, from January 2010 to December 2010. Methodology: All patients with ovarian cysts and / tumors suspected on clinical grounds and investigations and later underwent laparotomy were included. The symptoms were grouped into various categories like gastrointestinal, constitutional, urinary etc. Results: The study included 65 patients. There were 50 (76%) benign and 15 (23%) malignant tumors. Seven patients with benign tumors were asymptomatic, while 90% had abdominal pain. Abdominal mass was present in 24% of the patients with benign tumors and in 66% with malignant tumors. Gastrointestinal symptoms were present in both the groups but frequency was higher in malignant tumors. Constitutional symptoms like loss of weight and appetite were reported in malignant group only. More than 75% of the malignant tumors presented in advanced stage of the disease (stages III and IV). On histopathology benign cysts were mostly functional follicular/luteal cysts in nature (25%). On the other hand histopathology of malignant tumors revealed that in majority of the patients tumors originated from epithelial surface (serous carcinoma 45% and mucinous carcinoma 25 %). Conclusions: Women presented mostly in the advanced stages of malignancy. Symptoms were mostly nonspecific and vague.

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