Case Records And Commentaries in Obstetrics And Gynaecolcgy

Abstract

1. Ovarian carcinoma was the third most common malignancy of the female genital tract for the period under study. Cervical carcinoma and chorioncarcinorna ranked first and second respectively. 2. Ovarian malignancy accounted for 8.1%of female genital tract malignant neoplasia. 3. 49 available case notes were analysed. 4. The peak age incidence of ovarian carcinoma was in the sixth decade. 36.7%of the patients did not however knew their ages. 5. There was no predominance of nulliparous patients. 6. The characteristic symptomatology was abdominal distension (93.9%)and the finding of a pelvic mass ( 100%of Patients ) with ascites (81.6%of patients) . 7. Diagnosis was established at Laparotony (85.1%)but also clinically in 14.9%of patients. 8. The majority of the patients were diagnosed at Stage IV of FlGO classification (83.6%) 9. Alkylating agents, (Melphalan, Cyclophosphamide, and Chlorambucil ) were the drugs used in the treatment of ovarian carcinoma. 10. The outcome of treatment in these patients is impossible to gauge as follow-up is poor. 11. Ovarian carcinoma at Kenyatta National Hospital is a uniformly, fatal disease for most of our patients if it can be assured that failure to return for follow-up means a fatal outcome.