ROLE OF ULTRASOUND AS AN IMAGING MODALITY IN NEOPLASTIC OVARIAN MASSES IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 94
Abstract
BACKGROUND Traditionally, the preoperative radiological evaluation of patients suspected of having a uterine or adnexal mass was limited to barium enema examination and excretory urography to find out the mass effect on the bowel lumen or the urinary tract. Pelvic pneumatography, which showed the lesion directly was full of complications.[1] However, the evolution of new imaging techniques to display normal human anatomy over the past few decades has continued at an astounding pace. Accurate characterisation of adnexal and uterine lesions is of utmost importance in preoperative planning, because it facilitates the choice of therapy and assists the gynaecologists in the design of surgical approach.[2] Hence, this study was conducted to evaluate the role of ultrasound as an imaging modality in neoplastic ovarian masses in a tertiary care hospital. This study was designed1. To study the clinico-radiological profile of patients presenting with uterine and adnexal masses by using sonography. 2. Pre-operative assessment of benign versus malignant tumours by sonography. 3. To characterise the number, location and extent of tumour masses. MATERIALS AND METHODS This prospective study was conducted over a period of one and a half years (May 2006 to September 2007) in the Department of Radiodiagnosis and Imaging, Acharya Shri Chander College of Medical Sciences and Hospital, Sidhra, Jammu. A total of 36 patients were referred to the Department of Radiodiagnosis for the evaluation of ovarian masses on the basis of high clinical suspicion. They were radiologically evaluated by ultrasound. The images were further evaluated clinically and radiologically. RESULTS A total of 36 patients were referred to the Department of Radiodiagnosis. They included the following cases- Serous cystadenoma (6), Mucinous cystadenoma (1), Benign cystic teratoma (8), Haemorrhagic ovarian cyst (1), Serous cystadenocarcinoma (2), Malignant teratoma (1), Endometrioma (6), Pyogenic abscess (1) and Mucinous cystadenocarcinoma (3). CONCLUSION Adnexal masses are a group of heterogeneous pathological conditions with distinctive radiological and clinical features. In the present study, ultrasound was used for localising and diagnosing adnexal masses. Thus, to conclude, ultrasound is an effective imaging technique for evaluation of uterine and adnexal masses and determining the consistency of the mass.
Authors and Affiliations
Singhal R. P, Pardaman Singh Setia, Kawal Preet Kaur, Virinder Mohan, Payal Bansal
Keywords
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- EP ID EP279928
- DOI 10.14260/jemds/2017/1486
- Views 91
- Downloads 0
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