CLINICO RADIOLOGICAL EVALUATION OF GYNECOLOGICAL NEOPLASMS BY USG AND COLOUR DOPPLER
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 36
Abstract
Gynecological neoplasms is one of the major causes of morbidity and mortality in females especially in peri and postmenopausal women. Ultrasonography (Both TAS & TVS) is the method of choice for examining the female pelvis and it is the principle imaging modality in the evaluation of gynecological diseases. Duplex study with color flow mapping helps in assessment of vascularity of structure. AIMS AND OBJECTIVE: Evaluating the efficacy of color and spectral Doppler in the diagnosis of gynecological neoplasms with histopathology as the reference. STUDY SETTING AND DESIGN: A prospective study of 50 patients was done in the department of Radio diagnosis, in association with Department of Obstetrics and Gynecology and Department of Pathology. Age, Sex, Address, Registration number was recorded in a proforma specially prepared for the purpose of our study & a brief note on presenting complaints. Any significant past history if present was noted. Significant, general, systemic & gynecological examination including P/A, P/S and P/V was done. MATERIALS AND METHODS: All patients of strong clinical suspicion of Gynecological neoplasms were taken as study subject. Patients were examined by real time Ultrasonography and color Doppler (GE-LOGIQ 3 Expert and SiemensSonoline 50) with convex, low frequency (2-5MHz) transducer by trans-abdominal and medium frequency (5-7MHz) transducer by trans-vaginal route. RESULT: Most of the benign neoplasm’s were seen before 50 years of age and most common presenting symptom in the present study was pain in abdomen (62%). Among 50 patients, 24(48%) were of benign and 26(52%) were of malignant neoplasm. Most common clinical diagnosis was pelvic mass (22%) and ovarian mass (22%). Out of 50 cases, 24(48%) were benign and 26(52%) were malignant neoplasm. In this study 85.72% of malignant ovarian tumors had PI value <0.8 in contrast to only 50% of benign ovarian tumors. In the same way 85.72% of malignant tumors had RI <0.6 and in contrast to only 50% of benign tumors. CONCLUSION: Ultrasonography and colour Doppler are very useful investigation in differentiating between benignand malignant gynecological neoplasms. Combined use of ultrasonography and color Doppler allows more confident diagnosis with higher accuracy than that obtained any one
Authors and Affiliations
Avadhesh Pratap Singh Kushwah, Sonjjay Pande, Ajay Patoda
Keywords
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- EP ID EP232683
- DOI 10.18410/jebmh/2015/773
- Views 86
- Downloads 0
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