Clinicopathological Study of Patients Presenting with Adnexal Masses

Abstract

Background: To assess the clinicopathological
outcome of women with adnexal masses .
Method: In this observational study patients with a
diagnosis of adnexal mass, who underwent laparotomy,
were included. All the patients were evaluated by a
complete history, general abdominal and pelvic
examination, followed by ultrasonography. Their
preoperative findings are then correlated with surgical
findings and histopathological diagnosis. Descriptive
statistics are applied and results shown in the form of
frequencies and percentages.
Result: In 50 patients commonest presenting symptom
was pain abdomen followed by mass abdomen.
Ultrasound features correlate well with histopathological
features. Majority (94.6%) patients had benign adnexal
pathology and 5.4% had malignant pathology. Most
common neoplasms were surface epithelial tumours
followed by dermoid cyst.
Conclusion:Demographic detail, ultrasonography and
CA-125 are good preoperative indicators of malignant
nature or benign nature of adnexal masses. Most common
adnexal tumours are surface epithelial tumours followed
by dermoid cysts and malignant tumours are common in
postmenopausal group.