August 2016 · Volume 5 · Issue 8 Page 2696 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Kant RH et al. Int J Reprod Contracept Obstet Gynecol. 2016 Aug;5(8):2696-2700 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Research Article Clinical and histopathological profile of patients with ovarian cyst presenting in a tertiary care hospital of Kashmir, India Rizwana Habib Kant*, Shagufta Rather, Sabia Rashid INTRODUCTION Ovarian neoplasms are the common gynaecological problems encountered by gynaecologists in their daily practice. They can be seen in all age groups and can be physiological or pathological cysts. Physiological cysts are mainly follicular and luteal cysts and need no treatment unless cysts are complicated. Pathological cysts can be benign or malignant. Benign tumors are more common in young females while as malignant ones are common in elderly females. 1 The incidence of ovarian cancers is approximately 30% of all the gynaecological malignancies. 2 Ovarian cancer is most fatal gynaecological malignancy because of late detection and absence of any specific symptoms and signs in early stages of disease. According to World Health Organization histological classification, ovarian tumors are subdivided into 9 main categories as per tissue of origin -surface epithelial tumors, sex cord stromal tumors, lipid cell tumors, germ cell tumors, gonandoblastomas, soft tissue tumors not specific to the ovary, unclassified tumours, metastatic tumors and tumour like conditions. 3 About 70 to 80% of primary ovarian tumors are of epithelial origin, 10% of stromal origin and 5% of germ cell origin, while remainder fall in other categories. 3 Epithelial tumors can be split into 5 Department of Obstetrics and Gynaecology, Government Medical College, Srinagar, Jammu and Kashmir, India Received: 12 June 2016 Accepted: 02 July 2016 *Correspondence: Dr. Rizwana Habib Kant, E-mail: habibrizwana@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Ovary is the commonest site of physiological and pathological lesions which can present in any age group and are common gynaecological problems encountered by gynaecologists in their daily practice. Aims: To find the clinical and histopathological profile of patients with ovarian cysts in Kashmir valley and to determine regional variation if any. Methods: This was an observational study conducted in the Postgraduate Department of Gynaecology and Obstetrics, Lalla Ded Hospital, Government Medical College over a period of two years from March 2014 to March 2016 of 160 patients after obtaining ethical clearance from the institutional ethical committee. All the cases of ovarian cysts sent for histopathological examination were included in the study. Data included age, parity, clinical symptoms, intra- operative findings and histopathological findings. Results: The mean age of presentation was 33.9 years. Most ovarian tumours occurred in 30 - 39 years of age. Dull abdominal pain was the most common clinical presentation. Of the 160 patients studied, the incidence of benign tumour was 71.87%, borderline tumour was 1.9% and malignant tumour was 28.12%. The most common type of ovarian cysts was serous cystadenoma (22.5%) followed by mucinous cystadenoma (19.4%). Bilateral ovarian involvement was seen in 13.1% cases. Conclusions: Benign ovarian tumours were more common than malignant ones in all age groups. A higher incidence of malignancy was observed in our study as compared to other studies, showing regional variations and highlighting the need to identify region specific risk factors. Keywords: Ovarian cyst, Benign, Malignant, Regional variation DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162649