Assessment of Adnexal Masses among Indian Women using Ultrasound: A Prospective Study

Abstract

Introduction: Adnexal lesions are considered one of the most common disorders in gynecology practice. Imaging plays a crucial role in the evaluation of adnexal masses to differentiate malignant and benign lesions in order to provide appropriate treatment. Current trends toward early detection and characterization have increased the need for accurate imaging assessment of adnexal lesions prior to treatment. Ultrasound is the first-line imaging modality for assessing adnexal lesions. Hence, the aim of the present study was to evaluate the efficacy of ultrasonography in patients with adnexal masses and to correlate the results of ultrasound with histopathological findings. Material and Methods: This was a prospective study done among 100 patients suspected to have adnexal masses was subjected to ultrasonography. Transabdominal ultrasonography (TAS) and transvaginal sonography (TVS) was conducted in clinically suspected cases of adnexal masses and incidentally found adnexal masses when patient is undergoing sonography. Unmarried female patients and paediatric patients of less than 15years of age were excluded from the study. Results: The most commonly affected age group was 36-45 years. The major complaints were found to be of pain and history of lump in the abdomen. In this study, most common origin of adnexal lesions was from ovaries. On USG, 97.3% of benign masses were sonolucent. Only 2.74% of benign masses presented with low echogenicity with echogenic core. 96.3% of malignant masses had mixed echogenicity.