Ultrasonographic Evaluation of Pelvic Masses and Its Correlation with Histopathology in a Teaching Hospital in Telangana, India

Abstract

BACKGROUND Ultrasonography (USG) is the diagnostic test of choice in evaluating pelvic masses. Because of considerable overlap in the morphologic pattern of different pelvic masses, diagnosis should be correlated with histopathological findings. We wanted to do an ultrasonographic evaluation of pelvic masses and study its correlation with histopathology in a teaching hospital. METHODS This is a prospective study done among 40 cases subjected to USG at Department of Radiology, Hyderabad, Telangana, over a period of seven months. The USG findings were noted and were correlated with the final histopathological findings. The sensitivity and specificity of ultrasound for malignancy were 75 % and 88.8 % respectively. RESULTS In the present study ovarian masses were most frequent (67.5 %), followed by uterine (25 %) and adnexal masses (7.5 %). Majority of the benign pelvic masses (67 %) were seen in the age group of 31 – 40 years while malignant pelvic masses (15 %) were more common in the age group of 51 – 60 years. CONCLUSIONS Ultrasonography is the first choice imaging technique to investigate pelvic masses in women. Of all gynaecological pelvic masses, ovarian masses are the commonest. Sonography has good sensitivity and specificity and is very effective in diagnosis of gynaecological masses and it correlates well with the final histopathological diagnosis. KEYWORDS Ultrasonography, Pelvic Masses, Ovarian Masses, Histopathology