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Research Article

JCDR. 2021; 12(6): 475-483


To Compare the Sonographic Morphology of Pelvic Tumours to the Histological Diagnosis of Individuals who Underwent Surgical Intervention

Dr. Mithilesh Pratap, Dr.Anusha, Dr.Abhishek, Dr Tushar Kumar.


Abstract

Abstract
Aim: The aim of this study was to evaluate the sonographic morphology of pelvic masses and
to correlate with the histopathological diagnosis of the patients who underwent surgical
intervention.
Methods: A cross-sectional prospective study was conducted in the Department of Radiology
VIMS, Pawapuri, Nalanda, Bihar, India, for 15 months. Total 100 female patients with
gynecological masses using high resolution ultrasonography and findings correlated with
histopathology or serial sonographic examination.
Results: Majority of the patients were in the age group of 40-50 years with mean age of 36.3
years. The minimum number was in the age group of below 20 years. The most common chief
complaint of female patients enrolled in our study was pain in pelvic cavity 36 (36%) followed
by pain and palpable mass 16(16%). Menstrual irregularity, menorrhagia, post-menopausal
bleeding, infertility, and amenorrhea were the other less common complaints in the female
patients of our study. Out of 100 patients evaluated by ultrasonography 25 (25%) were having
ovarian pathologies and 45(45%) were having uterine pathologies. Eleven patients presented
with localized collection in to the fallopian tube pathologies. Few cases there were involvement
8(8%) of vagina . Fibroids were the most common uterine masses in our study accounting for
nearly 45%, i.e., 45 cases of total 100 cases of uterine masses and uterine fibroids also
constituted 42 (42%) of total 100 cases in our cross-sectional study of female gynecological
masses evaluation. Thus, uterine fibroid is one of the most important and common cause of
female gynecological pelvic masses . Majority of ovarian lesions were benign cystic lesion 40
(40%) in which Tubo-ovarian masses 11(11%) and follicular cyst were most common 8 (8%),
followed by luteal cyst, serous cystadenoma, mucinous cystadenoma. Malignant ovarian
Journal of Cardiovascular Disease Research

ISSN: 0975-3583, 0976-2833 VOL 12, ISSUE 06, 2021
476
masses found in 11% (11/100 of patients), in which serous cyst adenocarcinoma most common
found in 63.63% (7/11 of malignant ovarian masses) followed by mucious cystadenocrcinoma
and endometrial sinus tumor (18.18% each) .
In the identification of the uterine pathology, 90.48% (38/42) of fibroid, 75% (3/4) of fibroids
were diagnosed as adenomyosis correctly by ultrasonography after post surgical
histopathological examination. Accuracy of ultrasonography in the diagnosis of uterine and
cervical malignancies was 100% in the presenting study .15 patients were diagnosed as tuboovarian masses out of which 11 were proved correctly by histopathology (73.33%). 4 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 100%
and 73.33% respectively, in presenting study.
Conclusion: we concluded that the 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.

Key words: Gynecological pelvic mass, uterus, ovary, adenexa, ultrasonography, Histopathological diagnosis






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