Ultrasonographic Evaluation of Gynecological Pelvic Masses - An Observational Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 11
Abstract
Abstract: Pelvic ultrasound is commonly used as part of the routine gynecologic exams, resulting in diagnosis of adnexal masses, the majority of which are functional or benign. However, due to the possible complications involving benign adnexal cysts (ie, adnexal torsion, pelvic pain) and the utmost importance of early diagnosis and treatment of ovarian cancer, the correct ultrasound diagnosis of adnexal masses is essential in clinical practice.Aim and objectives of this study were to evaluate the sonographic morphology of pelvic masses and to correlate with the histopathological diagnosis of the patients who underwent surgical intervention. A hospital based prospective study was done on 50 female patients with gynecological masses using high resolution ultrasonography and findings correlated with histopathology or serial sonographic examination.Out of 50 patients evaluated by ultrasonography 14 (28%) were having ovarian pathologies and 21 (42%) were having uterine pathologies. The most common chief complaint of female patients enrolled in our study was pain in pelvic cavity 21 (42%) followed by pain and palpable mass 10 (20%). In various ovarian pathologies, benign cystic ovarian lesions were detected with 100% accuracy with USG. Ovarian malignancies were diagnosed in 5 patients USG, out of which 4 diagnoses were proved correct [80%], but 1 was corrected as ovarian torsion after postsurgical histopathological examination. Seven patients were diagnosed as tubo-ovarian masses out of which 6 were proved correctly by histopathology (85.71%). One case was diagnosed false positive and proved as hydrosalphinx after postsurgical histopathology. So accuracy of diagnoses of malignant ovarian masses and tubo-ovarian masses were found 80% and 85.71% respectively, in presenting study. USG is most commonly preferred imaging tool to evaluate gynecological masses. It’s important to differentiate gynecological and non-gynecological masses on sonography for accurate management of the patient. Keywords:Gynecologicalpelvic mass, uterus, ovary, adenexa, ultrasonography, Histopathological diagnosis.
Authors and Affiliations
Biswajyoti Guha, Amit Dutta
Keywords
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