Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : EC11 - EC14

Clinicopathological Evaluation of 223 Cases of Mature Cystic Teratoma, Ovary: 25-Year Experience in a Single Tertiary Care Centre in India

Deepshikha Arora, Ruchi Rathore, Sonal Sharma

1. Ex Senior Resident UCMS, Department of Pathology; Currently Assistant Professor, North Delhi Municipal Corporation Medical College, New Delhi, India. 2. Director and Professor, Department of Pathology, University College of Medical Sciences, Dilshad Garden, New Delhi, India. 3. Ex Junior Resident UCMS, Department of Pathology; Currently Medical Officer, CGHS, University College of Medical Sciences, Dilshad Garden, New Delhi, India.

Correspondence Address :
Dr. Ruchi Rathore,
J-90 Third Floor, Saket, New Delhi-110017, India.
Email: ruchirathore13@gmail.com

Abstract

Introduction: Mature Cystic Teratoma (MCT) is the most common benign neoplasm of the ovary constituting 10-20% of all the ovarian tumours. Although, much has been published about ovarian teratomas, in English literature, there are very few retrospective cross sectional studies from India to understand the epidemiology of the disease.

Aim: To evaluate the prevalence, clinicopathological characteristics and complications of MCT of the ovary.

Materials and Methods: This was a retrospective study of 223 cases of MCT of ovary received over a period of 25 years from 1990 to 2014. The data regarding age, size, laterality, gross, morphological features, complications and surgery performed was retrieved from the archives of pathology department. Descriptive statistics was performed using SPSS software version 22 and the results were expressed as percentages.

Results: MCT constituted 20.2% of the total ovarian neoplasms and 78.5% of all the germ cell tumours. The mean age of the patients with MCT was 32.5±13.11 years and the mean size of tumour was 8.6±3.1 cm. Torsion was the most common complication of these tumours. Malignant transformation of this tumour though rare was seen in 3.5% of the cases.

Conclusion: MCT are most common tumours of the ovary. Though predominantly seen in reproductive age group, they may also be seen in children and postmenopausal women. Torsion is the most common complication of this tumour. Age of the patient and the size of the tumour are important prognostic factors in terms of malignant transformation of teratomas. Since 8.9% of these tumours were bilateral it is essential to thoroughly examine the contralateral ovary to rule out bilaterality. Early diagnosis and early treatment is essential to preserve fertility in these patients.

Keywords

Germ cell tumours, Malignant transformation, Ovarian neoplasms

How to cite this article :

Deepshikha Arora, Ruchi Rathore, Sonal Sharma. CLINICOPATHOLOGICAL EVALUATION OF 223 CASES OF MATURE CYSTIC TERATOMA, OVARY: 25-YEAR EXPERIENCE IN A SINGLE TERTIARY CARE CENTRE IN INDIA. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 Apr 26 ]; 11:EC11-EC14. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=EC11-EC14&id=9612

DOI and Others

DOI: 10.7860/JCDR/2017/23909.9612


Date of Submission: Sep 03, 2016
Date of Peer Review: Sep 16, 2016
Date of Acceptance: Nov 09, 2016
Date of Publishing: Apr 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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