Are the Pelvis-Abdominal Lumps of Women Concerned for Malignancy? A Clinico-histopathological Analysis

Abstract

Purpose To find out common causes of pelvis-abdominal (PA) lump in women of different age groups and to analyse clinical presentation and the histopathological finding of the PA lump in the gynaecology department of a referral hospital. Methods Sixty-eight women of 60 years or less who present with PA lump were recruited for the study. Women carrying intrauterine pregnancy were excluded from the study. Clinical and histopathological analysis of PA lump was done after operations. This was an observational study. Association was assessed by means of Chi-square test. For all statistical purposes, p \ 0.05 was taken as statistically significant.Results 88.23 % of PA lumps were in the age of 21-50 years age groups. Uterine fibromyoma (38.23 %), ovarian tumour (26.47 %) and endometriosis (10.29 %) were common causes presenting with PA lump. The percentage of benign PA lump in the different age groups from 11 to 60 years was significant when compared with malignant histopathology (p value = 0.000 in each age group of 11-20, 21-30, 31-40, 41-50 and 51-60 years). Conclusions Uterine fibromyoma was the commonest PA lump followed by ovarian tumour and endometriosis in the women of different age groups from 11 to 60 years. Pain and lump abdomen were common clinical symptom and sign in ovarian malignancy. Histopathology showed that PA lump of women of 60 years or less was mostly benign in nature, which was significant.