Clinico-Pathological as well as statistical survey were made on a series of 553 ovarian tumor patients who were admitted, operated and confirmed with histopathological study at the Department of Obstetrics and Gynecology, Maryknoll Hospital,
Pusan,
for8
years from Jan. 1987 till Dec. 1994.
@ES The results were as follows:
@EN 1. Among553 cases, the incidence of non-neoplastic ovarian tumors, benign ovarian tumors and malignant ovarian tumors were 180 cases(32.5%), 314 cases (56.8%), and 59 cases(10.7%) respectively.
2. The most frequent benign ovarian tumor was benign cystic teratoma(51.3%), and the most frequent of malignant ovarian tumor was epithelial origin in histogenesis (72.9%).
3. The mean age of benign ovarian tumors was 36.2 years of age, and that of malignancy was 42.4 years of age.
4. The bilaterality of benign ovarian tumors was 9.2%, but that of malignancy was 39.0%.
5. In terms of tumor size, the mean diameter of non-neoplastic ovarian cyst was 7.1cm, and that of benign ovarian tumor was 10.6cm, and that of malignant nature was 14.8cm.
6. As for the parity distribution of ovarian tumor patients, nullipara were most common(31.8%) and parity was in inverse relationship with incidence.
7. The most frequent chief complaint of ovarian tumor was abdominal discomfort or pain(47.6%), followed by abdominal palpable mass (16.3%), and asymptomatic(14.8%).
8. Benign ovarian tumors were complicated by torsion(64.6%), rupture(25.0%), and infarction(10.4%).
9. According to FIGO classification of malignant ovarian tumor, stage I(50.8%) was most common, followed by stage II(27.1%), stage III(18.6%), and stage IV(3.4%).
10. As for the surgical treatment of malignant ovarian tumor, total hysterectomy with bilateral salpingo-oophorectomy was most commonly performed (23.7%). Adjuvant chemotherapy was performed in 76.3%.
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