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Benign Ovarian Tumuors3
Benign Ovarian Tumuors3
INTRODUCTION
Benign ovarian tumours are non-malignant tumours of the ovary and are very
common in our environment.
They are frequently asymptomatic.
Occur mainly in the premenopausal age group.
Mostly cystic tumour
Significant proportion of benign ovarian tumours undergo spontaneous
regression.
EPIDEMIOLOGY
PATHOLOGY
GENERAL CHARACTERISTICS
Mostly cystic: Solid elements may be a pointer to malignancy except fibromas,
thecomas, dermoid and brenner tumours.
Capsule usually smooth and intact
Mostly unilateral and unilocular
HISTOLOGICAL CLASSIFICATION
W.H.O in 1993 classified ovarian tumours according to tissue of origin namely; the
surface (coelomic) epithelium, tumour of germ cell origin and those from ovarian
stroma or sex cord.
PHYSIOLOGICAL TUMOUR
Follicular
Luteal
CLINICAL FEATURES
Asymptomtic:
Many are discovered incidentally during investigation for other problems
Abdominal swelling
Pressure symptoms
Urinary symptoms
Gastrointestinal symptoms constipation, dyspepsia.
Pressure on the large veins reduced venous return with varicose veins,
Haemorrhoids and genital prolapse.
Thyrotoxicosis
DIFFERENTIAL DIAGNOSIS
Full bladder
Gravid uterus
Fibroids
Fimbrial cyst
Ectopic pregnancy
Appendicitis
Pelvic inflammatory disease
Pelvic kidney
Rectal tumour
Diverticulitis
All other causes of menstrual irregularities,
precocious puberty and post menopausal bleeding
ovarian cancer