FINE NEEDLE ASPIRATION CYTOLOGY OF OVARIAN TUMOURS

BACKGROUND Recent trends towards delayed child bearing have bolstered efforts to preserve ovarian tissue throughout the reproductive years. This trend combined with improvements in technology of high frequency sonography and increasing experience in cytopathological interpretation of ovarian cyst fluid has led to broader acceptance and utilization of ovarian FNAC. MATERIALS AND METHODS The study was undertaken on 47 patients from February 2003 to March 2005. FNAC of ovarian lesions by using 23 Gauge needle and Cameco syringe pistol with disposable 10 cc syringe and whenever required use of USG or CT guidance. The technique of aspiration and preparation of the slides closely followed those recommended by Franzen and Zajicek et al. RESULTS The study included 47 cases of which 55.32% were benign and 44.68% were malignant. The commonest benign tumour was simple ovarian cyst (13cases) and the commonest malignant tumour was mucinous cyst adenocarcinoma (09 cases). 13 (27.65%) cases were simple cysts which formed the major portion of this study.09 (19.14%) cases were diagnosed as mucinous cystadenocarcinoma. 08 (17.02%) cases were diagnosed as serous cystadenocarcinoma. Serous cyst adenocarcinomas in 02 cases were bilateral. Recurrence was diagnosed in 02 cases of known mucinous cystadenocarcinomas and 01 case of serous cystadenocarcinoma. CONCLUSION So, with the knowledge of limitations of FNAC, judicial use of this procedure along with detailed clinical history, use of USG/CT guidance and a skilful procedure as well as interpretation of smears, this method proves to be very effective and rewarding.