Background: The tubo-ovarian lesions manifest a wide spectrum of clinical, morphological, and histological features. Aims and objectives-To classify the lesions of tubes and ovaries and to correlate the various clinical and histopathological findings with age, chief complaints, and microscopic appearances of lesions. To correlate them radiologically and histopathologically. Methods: The present prospective study was based on the clinico-pathological correlation of various tubo-ovarian lesions in 75 cases over a period of 2 years. The histopathological reports were used to classify the tubo-ovarian lesions and correlate /substantiate the clinical and radiological findings. Results: Out of 75 cases, 51 (68%) ovarian, 18 (24%) tubal, and 6 (8%) cases showed simultaneous involvement of both tube and ovary. Amongst 18 tubal lesions,16 were of ectopic gestation (6 were ruptured) and the rest 2 of salpingitis. Amongst the ovarian lesions,41 cases were of ovarian neoplasms which were categorized as benign and malignant. Serous cystadenoma was the most common benign tumor and serous cystadenocarcinoma was the most malignant tumor. Conclusion: Clinical, radiological and histopathological diagnosis were compared and analysed statistically and the correlation was highly significant. An accurate clinical and radiological examination along with the histopathological examination aids in improving the diagnostic accuracy.

Tubular apocrine adenoma, the apocrine variant of papillary tubulopapillary hidradenoma, is a rare well-circumscribed, intradermal benign tumor, with tubular structures showing apocrine differentiation. It usually presents as a slow-growing well-circumscribed nodule. The most common site of involvement is the scalp, although it has also been reported to occur at other sites like face, neck, axilla, trunk, upper and lower extremities. The present study describes a case of 76-year-old female who presented with swelling on back. An excisional biopsy was performed which on histopathological examination shows multiple irregular-shaped tubular structures lined by two layers of epithelial cells focally. On histopathology, the case was diagnosed as tubular apocrine adenoma.