ROLE OF ULTRASONOGRAPHY & COLOUR DOPPLER IMAGING IN EVALUATION OF ADNEXAL MASSES

Abstract

Background: Adnexal mass lesions are very common among women of all age group but very common among reproductive age. Differential diagnosis of adnexal mass is difficult and complex. Recognition of the severity of the problem, appropriate and timely evaluation and treatment with good outcome is the goal. Ultrasound is the primary modality used for detection and characterization of adnexal masses. The purpose of this study is to evaluate the diagnostic accuracy of ultrasonography in patients suspected with adnexal masses.
 Objectives: Understanding the characterization of adnexal masses on ultrasonography and colour doppler,and to corelate the usg findings with histopathology where ever possible,to derive simple and clinically useful usg based IOTA rules for discriminating between benign and malignant mass.
 Methods: The study was conducted on 100 patients with suspected various adnexal masses in a period of 1 year from 2018-2019. Patients are selected based on Clinical history & Adnexal masses detected on pelvic ultrasound. Results of ultrasound were correlated with available histopathological findings.
 Results: On histopathology, out of total 50 cases studied 14(28%) were malignant and 36 (72%) were benign. Out of 45 cases where IOTA simple rules were applicable, 16(35.5%) were malignant and 29(64.4%) were benign.
 Conclusion: On comparing the findings of ultrasonogram versus histopathology, it was found that ultrasound had a high sensitivity of 91.66%, 84.84% specificity, 68.7% positive predictive value, 96.55% negative predictive value and 88.8% accuracy of detecting adnexal masses.
 Keywords: TAS – Transabdominal sonography, TVS – Transvaginal Sonography, Adnexal Masses.

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“…Regarding education level in the present study, higher number of the patients 99(49.5%) finished secondary school. In agreement to our result, Greenlee et al, study stated that higher number among ovarian cyst patients completed secondary school [17]. In contrary to our results, majority of the patients were illiterate 9 (64.2%) in Almas et al, study [15].…”

“…Mean age in Lee et al, study was 26.2 ±5.9 [16]. Simple cyst detection slightly more common for women ages 55-59 (16%) than for women in older age groups (13%) in Greenlee et al, study [17].…”

Effect of Ovarian Cysts on Women Health Related Quality of Life

“…Ovarian cysts, incidence of 20% of women developing at least one pelvic mass in their life time (2) . Age incidence in patients with ovarian cysts is commonly seen in age group between 30 and 39 years the prevalence for simple ovarian cyst is 48 percent out of 100 patients, unilocular simple ovarian cysts are functional ovarian cysts and resolve spontaneously with therapy by 3 to 6 months oral contraceptive (3) . Cystic lesions of the ovary are a common gynecological finding.…”