Introduction: Ovarian lesions can manifest from childhood to postmenopausal women. It is one of the most common site for neoplastic and non neoplastic lesions. Among cancers of female genital tract ovarian cancer ranks next only to carcinoma cervix and endometrium. Aims and Objectives: Aim of our study is to analyse and study the pattern of ovarian lesions and their clinico pathological features. Materials and Methods: Its a prospective and a retrospective study of 80 cases at a tertiary care hospital puducherry. All the relevant clinical data are collected from the hospital record files. Data was analyzed using an MS Excel worksheet and calculations of incidence made from the same. Results: Among 80 cases studies 50 were non neoplastic and 35 were neoplastic. Most common non neoplastic lesion was follicular cyst. Among 35 neoplastic lesions 28 were benign, 1 borderline and 6 malignant cases. In benign cases the most common lesion was serous cystadenomas followed by mucinous cystadenomas. Among malignant cases maximum were of serous cystadenocarcinoma. Conclusion: Ovarian lesions exhibit a wide range of histological features. The gold standard diagnosis of ovarian lesions is histopathological analysis. Clinicalpathological correlation enhances the diagnostic valve of ovarian lesions.

Keywords: Benign; Malignant; Ovary; Ovarian cyst.