STUDY OF LARGE BENIGN OVARIAN NEOPLASMS IN POSTMENOPAUSAL WOMEN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND Prevalence of ovarian neoplasm in postmenopausal women can be as high as 14% - 18% with an yearly incidence of 8%. Though the risk of ovarian cancer in cysts less than 5 cm is only 0% - 1%, there is increased chance of malignancy up to 10% - 40% in a huge and complex cyst. The objective of this study is to study the clinical features, imaging and tumour markers in postmenopausal large benign ovarian tumours. MATERIALS AND METHODS A tertiary care teaching hospital based retrospective study over a period of 6 months; 35 cases of large benign ovarian neoplasms in postmenopausal women were included in our study. RESULTS The large benign ovarian tumours mostly presented with abdominal distension or vague pain in the abdomen. Ultrasound features showed few uncertain features like multiloculations and thick septae in some of the tumours and the CA-125 levels were more than 35 in 5 cases. All the tumours were operated for their size and the pathology remained benign in spite of their large size. CONCLUSION We conclude that large postmenopausal ovarian neoplasms (> 10 cm) are more likely to require surgical removal compared to smaller cysts irrespective of the malignant potential. However, the size does not increase the risk of malignancy. The most common large ovarian tumour is serous cystadenoma.
Authors and Affiliations
Sirishapalakodety S. N. R. S, Syamala Onimi, Usharani G
Keywords
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- EP ID EP278283
- DOI 10.14260/Jemds/2017/1388
- Views 80
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