FINE NEEDLE ASPIRATION CYTOLOGY OF OVARIAN TUMOURS

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