The frequency of ovarian masses and lesions in different age categories in Khorram Abad (1381-1391)

Document Type : Original Article


1 PhD Student of reproductive health, Department of reproductive health, Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

2 General Practitioner, Student Research Committee, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran.

3 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Ahvaz University of Medical Sciences, Khouzestan, Iran.

4 Bachelor of Midwifery, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Lorestan, Iran.


Introduction: Ovarian cancer is the second most common cancer of the reproductive organs and the most common cause of death from malignancy of reproductive organs. Ovarian tumors are very different in terms of histology. The studies showed a large variation in prevalence and types of ovarian tumors at different ages. This study was performed with the aim to evaluate the frequency of the ovarian lesions at different age categories.
Methods: this descriptive study was performed on 350 ovarian pathology samples of women referred to Pathology Center of Khorram Abad Shohadaye Ashayer during 2002-2012. Data related to physical examination and demographic data and chief complain of patients obtained from archival records and if necessary contact with them. The vague pathology specimens and insufficient records were excluded. Data was analyzed by SPSS statistical software (version 16). P< 0.05 was considered significant. 
Results: 83.4% of masses were related to reproductive ages that 91.4% of them were benign and the malignant tumors were predominantly observed in pre and post menopausal ages.  Many masses were discovered and removed during other abdominal surgeries such as appendectomy that mostly were in reproductive ages andmost of them were benign.
Conclusions: despite functional cysts are more common in reproductive ages, the highest prevalence of ovarian malignant lesions are seen in  pre and post menopausal ages that Cerocyst adenocarsinoma is the most common. According to the increased prevalence of ovarian malignancies in these age categories, follow up of the masses in these age groups is very important. Therefore, it is recommended that this subject be given more importance in the annual examinations.


  1. Swamy G, Satyanarayana N. Clinicopathological analysis of ovarian tumors–A study on five years samples. Nepal Med Coll J  2010;12(4):221-3.
  2. Scott J, Gibbs R, Karlan B, Haney A. Danforth’s Obstertrics & Gynecology. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2003.
  3. Jha R, Karki S. Histological pattern of ovarian tumors and their age distribution See comment in PubMed Commons below.Nepal Med Coll J 2008;10(2):81-5.
  4. Iqbal J, Aurangzaib, Naseem A, Shahid A. Pattern of Ovarian Pathologies. Journal of Rawalpindi Medical College 2013;17(1): 113-5.
  5. Pradhan A, Sinha A, Upreti D. Histopathological patterns of ovarian tumors at BPKIHS. Health Renaissance 2012; 10(2):87-97.
  6. Khatri R. Clinicopathological Analysis of Ovarian Tumours at Birendra Military Hospital. Medical Journal of Shree Birendra Hospital. 2012;10(1):26-31.
  7. Arab M, Khayamzadeh M, Hashemi M, Hosseini M, Tabatabaeefar M, Anbiaee R, et al. Crude and age-specific incidence rate patterns for histopathologic subtypes of ovarian cancer in Iran. Arch Iran Med 2010;13:203-8
  8. Danish F, Khanzada MS, Mirza T, Aziz S, Naz E, Khan MN. Histomorphological Spectrum of Ovarian Tumors with Immunohistochemical Analysis of Poorly or Undifferentiated Malignancies. Gomal Journal of Medical Sciences 2012; 10(2).
  9. Givens V, Mitchell G, Harraway-Smith C, Reddy A, Maness DL. Diagnosis and management of adnexal masses. American family physician 2009;80(8):815-20.
  10. Kurman, R.J, Carcangiu, M.L, Herrington, C.S, Young, R.H. Tumors of the Ovary. 4th edition of WHO Classification of Tumours of Female Reproductive Organs. 2014; 6(6).
  11. Akhavan S, Pourseyed S, Afkhamzadeh A. Comparison of Sonography and CT-Scan in Differentiation of Benign and Malignance Ovarian Tumors. The Iranin Journal Of Obstetrics, Gynecology and Infertility. 2014; 17(92):1-8