Background: Most Indian population-based cancer registries have reported a gradual rise in the ovarian cancer incidence over the years. These neoplasms exhibit a spectrum of genetic background, much more varied than any other gynecological condition and present a big challenge to a gynecological oncologist.  Therefore, proper recognition and classification of such pelvic masses is important for appropriate therapy and better prognosis.
Objectives This study aimed to look at the demographics and clinical profile of various ovarian lesions in the local population of the central India.
Patients and Methods: A prospective observational study was carried out on the surgically resected ovarian samples that were referred to the Pathology department over two and half year. A total of 100 ovarian cases were included. Relevant clinical information regarding age, bleeding, pain in abdomen, menstrual history, histopathological examination reports were recorded.
Results: Out of 100 cases of ovarian lesions, majority were neoplastic lesions. Most of the cases of non-neoplastic ovarian lesions belonged to 31-40 years' age group, whereas most cases of neoplastic ovarian lesions belonged to 41-50 years' age group. Most common presenting symptom was abnormal uterine bleeding in non-neoplastic cases. But neoplastic cases presented mainly with abdominal pain.
Conclusion: Majority of the ovarian lesions in central India population present after second parity, are benign in nature and present with abnormal uterine bleeding, whereas malignant ovarian lesions mainly present with abdominal pain and after 40 years of age.