Fine needle aspiration (FNA) [fine needle aspiration Cytology (FNAC)] technique was first introduced by Greig and Grey. 1 Since the 1960's, it has been used extensively as a diagnostic tool for rapid evaluation of mainly superficial lesions, especially of lymph nodes. It is cost effective, relatively less traumatic, and enables the pathologist to provide the clinician with a diagnosis in a very short time, and hence is ideal especially for OP patients. 2 Lymphadenopathy is a commonly encountered clinical entity. The diagnosis of the cause underlying the enlarged lymph node(s) enables the clinician to plan appropriate management for each patient. Enlarged superficial lymph nodes are easily amenable to evaluation by FNA technique and hence FNAC forms an important diagnostic tool in the armamentarium of the pathologist. 3 While histopathological evaluation of surgically excised lymph nodes is a more specific and accurate diagnostic parameter, it is relatively more costly, time consuming and discomfiting to the patient, and may not be warranted in every patient. FNAC is more cost effective and relatively non-invasive. 4 FNAC evaluation may prevent a patient having to undergo unnecessary surgery and permit the treating clinician to offer conservative therapy instead.

Background: The aim of the study was to identify the pattern of pathologies involving ovarian mass lesions which were received for histopathological evaluation at a tertiary hospital in Hyderabad, Telangana, India during the period January 2012 to December 2016.Methods: The data pertaining to samples of ovarian lesions received for histopathological evaluation at the laboratory of a tertiary care hospital in Hyderabad from January 2012 to December 2016, were analyzed to determine the pattern of pathologies diagnosed during such evaluation and the age distribution of all lesions.Results: Non-neoplastic lesions of the ovary constituted 44.0% of all cases received; follicular cysts constituted 45.5% of these lesions. Malignant lesions constituted only 2.0% of all pathologies. Serous cystadenoma of the ovary constituted the predominant neoplastic lesion diagnosed (62.5% of all neoplastic lesions). 53.2% of patients whose samples were received belonged to the age group of 20-39 years. 90.8% of the lesions were unilateralConclusions: The majority of ovarian lesions received for evaluation were benign and unilateral. Most patients were in the third to sixth decades of life.

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