Aspects épidémiologiques, cliniques et thérapeutiques des tumeurs ovariennes présumées bénignes à l’Hôpital Central de Yaoundé

INTRODUCTION: Supposed benign ovarian tumors (SBOT) are considered one of the most frequent reasons for gynecological consultation and one of the most common indications for gynecological surgery. METHODS: We conducted a retrospective descriptive study in the Department of Obstetrics and Gynecology at the Central Hospital of Yaoundé. We carried out a 6-month study, over a five-year period, from 1 January 2010 to 31 December 2014. The study population consisted of all patients undergoing surgery for the treatment of supposed benign ovarian tumor during the study period. RESULTS: The mean age was 29.33 ± 6.83 with a minimum age of 20 years and a maximum age of 48 years. The most represented age range was 21-25 years. The reason for consultation was pelvic pain in 93.90% of the cases. Eleven patients were pregnant women (33.3% of our study population) and 72.70% were in their first trimester. SBOTs in our series were: cyst rupture (36.40%), ovarian torsion (adnexal torsion) (27.30%), voluminous ovarian cyst (21.20%) intracystic haemorrhage (15.20% ). 26 (78.78%) patients were treated conservatively. However, adnexectomy was performed in 5 out of 9 patients with ovarian torsion. CONCLUSION: Complex SBOTs can occur in our mids, especially in patients of reproductive age. Late diagnosis, especially in the case of ovarian torsion, obliges to perform radical procedure with deleterious effects upon the patient. Laparoscopy is the most recommended surgical procedure if the technical equipment is available because it reduces the risk of complications.