Study of ovarian tumours in Nepal Medical College Teaching Hospital.

This was a retrospective study of all the cases of ovarian tumours operated in Nepal Medical College Teaching Hospital from January 2006 to July 2008. All the cases of ovarian tumour were included, irrespective of whether diagnosed preoperatively or found incidently during operation. The nature of tumour whether benign or malignant, their presenting symptoms, age, parity age of menarche, type of operation and histopathological finding was recorded. The incidence of ovarian tumour was 16.7% among total gynaecological admissions, out of which malignant ovarian tumour was 9.5%. The age range was 18 to 70 years. Benign tumour occurred in all age group 86 (90.5%) while maximum of malignant tumour occurred after 40 years (66.7%). Eleven point six percent were unmarried, 20.0% nulliparous, 7.4% were pregnant and 38.9% were of one to two parity. 10.0% were asymptomatic and commonest symptom was pain in lower abdomen (84.0%). Seventy two point six percent were surface epithelium tumour which is common in older women. Twenty seven percent were germ cell tumour which is common in younger age group. Commonest surface epithelial tumour was serous cyst adenoma (40.0%) and commonest germ cell tumour was Dermoid (25.3%).Commonest complication of ovarian cyst was torsion (12.6%).