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Clinico-Pathological Correlation of Tubo-Ovarian Lesions:A Study of 75 Cases.

Harpal Singh Seemer, Kundal Ramesh, and Parween Marwaha

Individual study of the ovarian lesions had been widely done but literature on combined with tubal lesions is less. Our aim was to correlate clinical features with pathological findings of large number of lesions of fallopian tubes and ovaries in gynecological patients. Incidence of these lesions was compared with other studies. The study was carried out in 75 cases of tubal and ovarian lesions during one year of period i.e. 2000-2001, by receiving salpingoopherectomy and oopherectomy material from the department of obstetrics and gynaecology. The necessary information was collected through performas of biopsy and from the record files of concerned cases. Out of 75 cases, 45 (60%) ovarian, 25 (33.33%) tubal, and 5 (6.66%) cases showed simultaneous involvement of both tube and ovary. Amongst 25 tubal lesions,17 were of ectopic gestation, 2 of salpingitis, 3 of hydrosalpinx, 2 of haematosalpinx and 1 case of leiomyoma of bizarre(benign).From 45 ovarian lesions,24 were(19 benign and 5 malignant) neoplastic,15 simple serous cysts,3 follicular cyst,2 theca leuteal cyst and one case of non-specific oophoritis. We found in this study that clinico-pathological correlation of tubo-ovarian masses can be enhanced to 100% with the help of USG, b-HCG, uterine curettage and laparoscopy.