1Professor and Head, Department of Pathology, KLE University's JN Medical College, Belgaum
2Professor of Pathology and Dean, Mayo Institute of Health Sciences, Barabanki, UP
3Professor of Microbiology and Director, Academic Affairs KLE University, Belgaum
*Corresponding author: Dr. Ganga S Pilli Professor, Department of Pathology, KLE University's JN Medical College, Belgau-590010, Karnatake State, India Mobile: 09480275601, E-mail: pilligs@rediffmail.com
Online published on 1 October, 2015.
Cancer of the ovary is the fifth most frequent cancer and fourth leading cause of in women worldwide and they need to be diagnosed at an early clinical stage.
To know the usefulness of clinical history, examination findings and USG findings in pre-operative diagnosis of Epithelial Ovarian Tumors.
The study is carried out for a period of 18months for data collection and data analysis. The present study includes 55 patients of epithelial ovarian tumors.
This study included 41(74.5%) patients with benign tumors and 14 (25.5%) patients with malignant epithelial ovarian tumors. About 30 (73.2%) patients of the benign tumors are in the age range of 21–40 years. 12 (85.7%) patients of malignant epithelial ovarian tumors are in the age range of 31–50 years. Most of the patients are less than G2P2 and in only one patient with benign ovarian tumor, family history was available.
Commonest symptoms in 10 (71.4%) patients of malignant epithelial ovarian tumors are abdominal swelling, abdominal pain and abdominal tenderness. Fatigue had significant p value (0.046) in patients with malignant epithelial tumors. Nausea, vaginal bleeding and bowel and bladder symptoms are experienced in variable proportion both in benign and malignant tumor patients. Pallor, weight loss and pedal edema are significant findings in malignant tumors patients compared to the benign ones with significant p value and also it was significant for tenderness, consistency and P/V mass feeling in malignant tumors on gynaecological examination. On USG most of the malignant epithelial ovarian tumors had solid areas with significant p value(<0.001) Bilateral tumors were common in malignant tumors compared to some component of benign tumors.
Thus the present study stresses the symptom recognition, examination findings and USG findings in early diagnosis of ovarian tumors.
Ovarian Epithelial Tumors, EOTs, symptom complexes, early diagnosis, Pre-operative diagnosis
