Histology and prevalence of ovarian tumours in postmenopausal women: Is follow-up required in all cases?

Abstract

The objective of this study was to determine if follow-up is required for all ovarian tumours incidentally diagnosed in postmenopausal women, by studying the prevalence and histology of ovarian tumours in postmenopausal women undergoing hysterectomy. The histopathology of adnexa in 100 consecutive postmenopausal women who underwent an abdominal hysterectomy with bilateral salpingo-oophorectomy for various indications, was reviewed. A total of 200 adnexa were examined. Ovarian pathology was found in 62/200 (31%). Of these 34/62 (53%) were unilocular cystic tumours, 9/62 (15%) were multilocular tumours, 11/62 (18%) were solid tumours and 8/62 (11%) were uni or multilocular with solid elements. The prevalence of borderline tumours was 4% and that of malignant tumours was 5%. All tumours < 2 cm were found to be benign. All unilocular cysts < 5 cm were benign. In conclusion, a vast majority of ovarian tumours in this group of women were benign. It may be reasonable not to follow-up women with unilocular ovarian tumours < 5 cm who have a normal CA125.

Postmenopausal woman with 24 kgs ovarian mucinous cystadenoma: a rare case report

“…These tumors are widespread, making up 58% of all ovarian serous tumors and around 25% of all benign ovarian neoplasms. Around 10% of all serous tumors are bilateral, 70% are benign, 5-10% are suspected to be borderline malignant, and 20-25% are malignant, mostly dependent on the patient's age [ 4 ]. Although unilocular serous cystadenomas are not infrequent, they typically have several lobes.…”

Ovarian tumours, their characterisation and origins and ovarian screening

“…Th e fi ndings of Annaiah et al (2012) of borderline ovarian tumours raise the question whether invasive epithelial ovarian carcinomas arise from borderline tumours and if so, what is their natural history. Th ey were reported by Rossing et al (1994) among women with ovarian tumours following treatment with clomiphene, and the review by Ness et al (2002) of eight case -control studies demonstrated an increased incidence of borderline tumours among nulligravid women who had used fertility drugs.…”

“…Th is issue includes an article by Annaiah et al (2012) which describes 100 post-menopausal patients who were undergoing total abdominal hysterectomy and bilateral salpingo-oophorectomy; 62 ovarian cysts or solid tumours were found (unilateral in 28 and bilateral in 17 patients, to give a total of 62 ' tumours ' ). Of these 62 ' tumours ' , 34 were unilocular and all were benign pathology.…”

A rare case of ovarian thecoma in a postmenopausal woman

“…3 The incidence of solid ovarian tumors in postmenopausal women is around 18 %. 4 We present a rare case of thecoma in a postmenopausal woman diagnosed incidentally on ultrasonography done for abdominal pain. Ultrasonography pointed out towards a benign solid unilateral ovarian tumor with poor vascularity.…”