CLINICAL PATHOLOGICAL STUDY OF OVARIAN TUMOURS IN ADOLESCENT AND YOUNG WOMEN- A PROSPECTIVE STUDY

Abstract

Pradeep Ganiga1, Ganga Patil2

BACKGROUND
Ovarian cancer is the third commonest cancer in Indian women accounting for 5% of cancers. The age adjusted incidence rates vary from 2.2 to 8.3 in various registries across the country, highest being in Delhi at 8.3%. The cumulative rate (0-69 years) in India is 0.93%. Ovarian tumour in young age is quite rare and reported to be 2% of all the cases seen. Sometimes, ovarian tumours are diagnosed incidentally on ultrasound. Ovarian tumours that occur in young girls can be discovered due to symptoms on physical examination and through imaging studies.
The aim of the study is to study about ovarian tumours in adolescent and young women about the incidence, clinical presentation, types and treatment.
MATERIALS AND METHODS
It is a prospective and nonrandomised case study. The cases were studied for presenting symptoms and signs, ultrasound examination, surgical procedures performed, staging if tumour is malignant and sites of extraovarian involvement and histological findings has to be collected. Data was compiled and analysed. A prestructured proforma was used to collect the data.
RESULTS
Malignant tumours affected the age group 26-30 years most commonly as compared to the benign tumours group in whom 21-25 years was common. Malignant masses were more common in the nulliparous group and in the upper middle class and in the higher socioeconomic class and had a strong association with ovulation induction drugs and infertility.
CONCLUSION
In women less than 30 years, most masses, which present tend to be benign and that risk factors for malignancy are nulliparity, infertility, positive family history.

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