Management and Outcome of Ovarian Pathologies - A prospective study
Sumreen Shabbir, Jabbar Hussain Bilal, Anila Ansar, Tariq Mahmood Rehan, Ansar Latif, Ishtiaq Ahmad
Aim: To analyze the management and its outcome in women presenting with adnexal mass at Allama Iqbal Memorial Teaching Hospital, Sialkot.
Study design: Prospective Study
Place and duration of study: Department of gynaecology, Govt. Khawaja Muhammad Safdar Medical college, Sialkot from May 2018 to January 2021.
Methods: Patients with Adnexal mass presenting in OPD of department of gynaecology were included in the study duration. Complete history and general physical examination ; radiological investigations like USG, CT scan abdomen and pelvis and serum tumour markers was done. Risk malignancy index on ultrasonograghy findings was assessed for all patients and management plan made. The treatment of the patient as per their stage of disease at its presentation; either admitted or out patients was done and data recorded. Formal written consent for inclusion in the study was taken. Patients not giving consent for inclusion in the study were excluded similarly patients not completing follow up for 3 months in postoperative period were excluded from the data. Patients were distributed in two groups Group -A premenopausal and Group -B postmenopausal. The data was entered and analyzed using SPSS v 23.
Results: Patients with ovarian mass admitted in hospital are 245(23.99%) and those managed in opd are 776(76.00%), patients referred to oncologist without surgical treatment is 40(3.91%) while those referred for adjuvant therapy is 23(2.25%). Age group is 18-61. Group A is premenopausal and includes 815(79.82%) patients while group B is postmenopausal and comprises of 206(20.17%) patients. Tumour marker CA-125 was performed in 876(85.79%) patients. Patients presenting with simple cyst in group A are 414(50.79%) and in group B are 61(29.61%) while patients presenting with complex cysts are 175(21.47%) in group A and 42(20.38%) in group B.
Conclusion: The majority of ovarian masses turn out to be benign however therein increased frequency of malignant tumours as the age increases. The management of advanced ovarian cancer is tedious and have unpredictable prognosis depending upon the stage of presentation.
Keywords: Ovarian masses, ovarian cysts, benign, malignant, cytoreductive surgery.