Study to evaluate the sonographic morphology of pelvic masses and to correlate with the histopathological diagnosis of the patients who underwent surgical intervention

Abstract

Aim: To evaluate the sonographic morphology of pelvic masses and to correlate with the histopathological diagnosis of the patients who underwent surgical intervention. Material and Methods: A cross-sectional prospective study was conducted in the Department of Radiology, Narayana Superspeciality Hospital, Howrah, West Bengal, India from March 2017 to February 2019. 200 female patients with gynaecological masses using high resolution ultrasonography and findings correlated with histopathology or serial sonographic examination. Results: The most common chief complaint of female patientsenrolledinourstudywaspaininpelviccavity 68 (34%) followed by pain and palpable mass 34(17%).Menstrual    irregularity,menorrhagia, post-menopausal bleeding, infertility, and amenorrhea were the other less common complaints in the female patients of our study.Out of 200 patients evaluated by  ultrasonography 54 (27%) were having ovarian pathologies and 87 (43.5%) were having uterine pathologies. Conclusion:USG is most commonly preferred imaging tool to evaluate gynaecological masses. It’s important to differentiate gynaecological and non-gynaecological masses on sonography for accurate management of the patient.

Keywords: Gynaecological pelvic mass, uterus, ovary, adnexa, ultrasonography, Histopathological diagnosis.