CORRELATION OF CLINICAL, SONOLOGICAL AND HISTOPATHOLOGICAL FINDINGS IN ADNEXAL MASSES – A DESCRIPTIVE LONGITUDINAL STUDY

Abstract

Introduction: Adnexal masses are a common clinical diagnosis in women from puberty, affecting five to ten percent of them throughout the course of their lives. One prevalent gynaecological issue is adnexal masses. In the great majority of cases, masses are benign. However, the possibility of cancer must be taken into account. Aims: To determine the occurrence of ovarian tumors in patients attending Obstetrics and Gynaecology department of Bankura Sammilani Medical College and Hospital and correlate the presenting clinical features with the sonological and histopathological type of tumor thus facilitating prompt diagnosis and treatment.
Materials and methods: We carried out the current study for correlation of clinical, sonological and histopathological findings in adnexal masses – a descriptive longitudinal study at Department of Obstetrics & Gynaecology, Bankura Sammilani Medical College and
Hospital for a period of 1.5 years. A total of 70 female patients in the age group of 14 years to 40 years (post pubertal to pre-menopausal) with clinical diagnosis of adnexal mass were included in the study.
Result: In majority [65(92.86%)] of patients, clinical findings was abdominal mass followed by pain abdomen [62(88.57%)]. Clinical findings was ascites in only 18 out of 70 patients (25.71%). In majority [62(88.57%)] of patients, bimanual examination finding was unilateral mass followed by bilateral mass [5(7.14%)]. Bimanual examination finding was none in only 3 out of 70 patients (4.29%).
Conclusion: In majority of patients, clinical findings was abdominal mass followed by pain abdomen. Clinical findings was ascites in only 18 out of 70 patients. In majority of patients, bimanual examination finding was unilateral mass followed by bilateral mass. Bimanual examination finding was none in only 3 out of 70 patients.