Clinical and pathological features of women with adnexal masses admitted as emergency cases to the Gynaecology Department of West Kazakhstan University

Abstract

Aim of the study: To detect the clinical and pathological features of women with adnexal masses (AMs) admitted as emergency cases to the Gynaecology Department of West Kazakhstan University. Material and methods: A retrospective analysis of the data of women with AMs admitted as an emergency cases to the Gynaecology Department of West Kazakhstan University. The collected data include: age, age of menarche and age of menopause, presenting symptoms, admission criteria-either self-referral or refereed from another department, ultrasound findings, associated pregnancy, associated pathology of the female genital tract, and post-operative histological results of surgically excised AMs (gold standard). Results: 77.04% (245/318) of the studied AMs were found in the reproductive age group. The main causes for surgical intervention for the studied AMs was ruptured ovarian cyst in 27.1% or adnexal torsion in 9.7%. The available histological results of the surgically managed AMs showed the following: functional ovarian cyst in 36.2% (115/318), benign ovarian neoplasms (BONs) in 18.55% (59/318), and borderline malignant ovarian tumours in 0.63% (2/318). 44.34% of the studied AMs were associated with pregnancy, 49.3% with chronic tubo-ovarain diseases such as salpingo-oophoritis, 14.8% with cervical pathology and pelvic inflammatory diseases, 11.3% with uterine leiomyomas, and 4.4% with endometrial hyperplasia. Conclusions: AMs were more common in the reproductive age group (77.04%), and 44.34% of the studied AMs were associated with pregnancy. The main causes of surgical intervention for the studied AMs were ruptured ovarian cyst in 27.1% or adnexal torsion in 9.7%.

Sonographic Evaluation of Serous Cystadenofibroma With Evidence of Intermittent Torsion

“…1,4 Benign serous cystadenofibromas are typically unilateral, although they can occasionally be seen on both ovaries. 4,5,8 Laterality can provide important information on the type of ovarian tumor as malignancies are more often seen bilaterally. 3 One of the biggest complications of the sonographic evaluation of benign serous cystadenofibromas is that they have many features that mimic those of malignant neoplasms.…”

Postmenopausal adnexal torsion: rare case report

“…Once adnexal/ovarian torsion is suspected, surgery is the main treatment option [ 1 ]. In recent years, the treatment of adnexal/ovarian torsion has been evaluated, and ovarian conservative surgery including cystectomy and/or detorsion is recommended rather than salpingo-oophorectomy or adnexectomy [ 11 , 12 ].…”

Morphological parameters of ovarian masses and accuracy of the risk of malignancy index in diagnosing ovarian malignancy

“…A blood sample was obtained preoperatively from each participant to measure serum CA-125, followed by TVS by an expert sonographer (blinded to the participants’ clinical data to avoid potential bias) for evaluation of the suspected ovarian masses. The suspected ovarian masses were evaluated regarding its consistency (cystic or solid), and whether the suspected masses were unilateral or bilateral, uni-locular or multi-locular, with ascites and/or extra ovarian metastasis [ 8 , 9 ].…”

“…The ultrasound score (U) is based on ultrasound parameters, and it includes bilateral lesion, multi-loculation, solid lesion, ascites, and extra ovarian metastasis [ 8 , 9 ].…”