Abstract

Adnexal mass is a common clinical presentation in gynaecologic practice and can be of gynaecologic or non-gynaecologic origin. The term adnexa is derived from the pleural form of the Latin word meaning “appendage”. It includes ovaries, fallopian tubes, broad ligament and structures within broad ligament that are developed from the embryonic nests. The term adnexal mass is most often used for masses involving the ovary because of the high propensity of the ovary for neoplasia. Fewer neoplasms occur in the fallopian tubes which are generally involved in inflammatory process. Aims: To describe the range of clinical features at the time of presentation among the patients suffering from benign adnexal masses, to find out the etiology of benign adnexal masses and to ascertain the outcome of different varieties of benign adnexal masses. Materials and Methods: The present study was a hospital based prospective observational study. This Study was conducted 18 months at Bankura Sammilani Medical College and Hospital. 104 patients were included in this study. Result: It is observed that maximum (95.2%) patients are symptomatic. Only 4.8% patients are asymptomatic. Asymptomatic patients are diagnosed incidentally when they are referred from another department. Mostly tiny simple cysts and fimbrial cysts have no specific symptoms. Conclusion: Ultrasonography (USG) is the primary modality used for detection and characterization of adnexal masses. Sonography including Doppler study is useful to make early and more specific pre- operative diagnosis and evaluation of adnexal mass and to develop individual strategies to avoid unnecessary interventions. Surgical excision is considered in benign adnexal masses >5cm in size and adnexal masses with complications

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