Characterisation of Benign Ovarian Lesions among Sudanese Women Undergoing Pelvic Ultrasound Scans: The Impact of Parity and Age
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 5
Abstract
ABSTRACT Introduction: Ovarian cysts are the most common benign lesions detected by routine ultrasound (US) examination. Characterisation and classification by ultrasound play a central role in diagnosis and management and also helps to avoid complications, such as haemorrhage, torsion, and malignancy. Aim: To classify ovarian cysts based on sonographic appearance and to explore the potential relationship of ovarian cysts with age, parity, occupation, and laterality within the ovaries. Materials and Methods: A cross-sectional study was conducted from March 2015 to December 2015 in Khartoum state, Sudan, in which 100 women who were investigated with Transvaginal Ultrasound Scanning (TVS). Coronal, longitudinal and transverse sections were obtained through the ovaries using a 7 MHz probe to measure and characterise the cysts. Prevalence of the benign ovarian cysts was calculated and association of presence of these cysts with parity, age, occupation and laterality was observed. Chi square test was used to analyse the results. Results: The classification of ovarian cysts among Sudanese women was as follows: Polycystic Ovaries (POC) comprised 50%, theca lutein cysts 20%, follicular cysts 19%, corpus luteal cysts 7% and haemorrhagic cysts 4%. POC mainly involved both ovaries and were common in nulliparous women and housewives (38% and 47.1%, respectively). It is significantly associated with parity (p-value=0.02) Theca lutein, follicular cysts and corpus luteal cysts were not significantly associated with parity, with p-values of 0.42, 0.18 and 0.66 respectively. Age, parity, laterality and cyst size were statistically significant factors affecting the classification of ovarian cysts, with p-values of ≤0.001, 0.02, ≤0.001and ≤0.001respectively. The prevalence of benign ovarian cysts was more frequent in nulliparous women than multiparous. The incidence decrease with advancing age. Conclusion: Sonographic evaluation is essential to classify and differentiate various types of benign ovarian cysts. Age, parity, laterality and cyst size were statistically significant factors influencing the occurrence and classification of ovarian cysts. POC and theca lutein cysts were the most frequent types of ovarian cysts in Sudanese women of reproductive age. These findings could be useful in decision making in clinical practice for gynaecologists when evaluating several ovarian cysts.
Authors and Affiliations
Moawia Bushra Gameraddin, Nagla Khalid Bashab
Keywords
Related Articles
- EP ID EP523234
- DOI 10.7860/JCDR/2018/35107.11459
- Views 64
- Downloads 0
Evaluation of Diagnostic Efficacy of Pipelle Endometrial Sampling in Abnormal Uterine Bleeding
ABSTRACT Introduction: Abnormal Uterine Bleeding (AUB) is a major clinical problem among women in peri and postmenopausal age groups which needs complete scrutiny. Various methods are in vogue for the assessment of endom...
A Magnetic Resonance Study and Demonstration of the Spectrum of Diverse Aetiologies for Trigeminal Neuralgia
ABSTRACT Introduction: Intractable hemifacial pain or twitching can be an incapacitating disorder caused by trigeminal neuralgia. The aetiologies for trigeminal neuralgia are numerous and the most frequent cause is a neu...
Various Clinical and Histopathological Patterns of Idiopathic Photodermatosis: An Observational Study
ABSTRACT Introduction: The idiopathic photodermatosis have different histopathological patterns, spongiotic pattern being the most common. Aim: To study the histopathological patterns of photodermatosis and to correlate...
Rotational Malalignment after Intramedullary Fixation of Trochanteric Fractures
ABSTRACT Introduction: Rotational malalignment after intramedullary fixation of fractures of the shaft of femur and tibia has been assessed by many studies but less frequently after intramedullary fixation of intertrocha...
An Unusual Case of Abdominoscrotal Swelling in a Young Patient-hydrocele En Bissac
ABSTRACT An abdominoscrotal hydrocele is a rare clinical entity in which there is a large hydrocele that extends from the scrotum into the abdominal cavity through the inguinal canal in an hourglass fashion. It is a cond...