Comparision of clinical presentation and morphological appearance of benign, borderline and malignant tumors of ovary-an institute

Background: Non specific symptoms in borderline and malignant tumors are a gray zone. An appropriate knowledge of these symptoms with investigations would detect the tumors at an early stage. Aim of the study: To compare the clinical presentation, morphological appearences of various tumors of the ovary and their significance in diagnosis. Materials and methods: It is a prospective study for a period of three years. Clinical data was recorded followed by laparotomy. The tumors were thoroughly grossed and subjected to histopathological examination. Results were tabulated and Chi square test was applied to know the significance. Results: 158 ovarian tumors were analyzed.69.62% tumors were benign, 15.82% were borderline tumors and 14.55% tumors were malignant. Borderline and malignant tumors were common in age group beyond 40 years except for germ cell tumors which were common in younger age. Nonspecific symptoms were seen in 52% of borderline and malignant tumors. Purely cystic tumors were benign,purely solid tumors were malignant. Tumors which were partially cystic and partially solid ,histopathological examination is a must to sub categorise the lesions further. Conclusion: Women beyond the age of 40 years presenting with non specific symptoms like nausea, vomiting, and increased urinary frequency should be subjected to ultrasonography followed by laparotomy and histopathological examination for early diagnosis and institution of therapy.