Clinicopathological spectrum of gynecological pelvic masses: a cross-sectional study

Pillai, Shobha S.

doi:10.18203/2320-1770.ijrcog20171948

Cited by 4 publications

(3 citation statements)

References 8 publications

(11 reference statements)

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“…7 This study also concurred with other research by Pilli et al, Shobha S. Pillai, Batool et al, Sharma et al, and Bhagde et al, where abdominal pain was the most common symptom. 5,[8][9][10][11][12] However, the present study had fewer cases presenting as mass per abdomen compared to other studies. Pain abdomen was the most common symptom across all age groups except for women over 40 years of age, who presented with distension (50%) or menstrual abnormalities (50%).…”

Section: Discussioncontrasting

confidence: 52%

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

2023

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Background: An adnexal mass, which refers to a mass located in the ovary, fallopian tube, or surrounding connective tissues, is a common problem in gynecology. A significant number of females present with adnexal masses, and the clinicopathological pattern and outcome of these masses are not well characterized. Therefore, a study was undertaken to evaluate the clinicopathological features and outcomes of adnexal masses in females from puberty to perimenopause. Methods: This study was a prospective observational study that was conducted over a period of one and a half years in the postgraduate department of Obstetrics and Gynaecology at Lalla Ded Hospital, GMC Srinagar. Ethical clearance was obtained from the Institution Ethics Committee (IEC) prior to conducting the study. Results: For patients aged 12-20, the chief complaints were pain abdomen (66.7%) and menorrhagia (33.3%). For patients aged 21-30, the chief complaints were pain abdomen (70.3%), dysmenorrhea (11.1%), secondary infertility (7.4%), and incidental finding during LSCS (11.1%). For patients aged 31-40, the chief complaints were pain abdomen (96%) and incidental finding during LSCS (4%). For patients aged 41-50, the chief complaints were distension and menorrhagia (both 50%). The chief complaints associated with these masses include Pain abdomen, Dysmenorrhea, Secondary infertility, Menorrhagia, Distension, Polymenorrhea, and Incidendal finding. The percentage of patients associated with each type of adnexal mass varies from 1% to 100%, depending on the type and chief complaint. Conclusion: The study found that adnexal masses were more prevalent in married women aged 21 to 40 years, with abdominal pain being the primary presenting symptom. Most of the masses were less than 100cc, and the majority of neoplastic lesions were surface epithelial tumors. The study also showed that non-neoplastic lesions were more common than neoplastic lesions, with only one malignant tumor found among the neoplastic lesions. Keywords: Adnexal mass, ovarian cancer, clinical presentation, histopathology

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Section: Discussioncontrasting

confidence: 52%

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

2023

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“…In study by Shobha S. Pillai. [16] 38 cases of leiomyomas were diagnosed preoperatively by physical examination and USG and 44 cases were confirmed by histopathological examination (HPE), showing a sensitivity of 95.5% and specificity of 61.4%. Study by Eze JC et al showed sensitivity of transvaginal scan (TVS) for diagnosis of uterine leiomyomas to be 94.5%, and specificity of 62.5%.…”

Section: Discussionmentioning

confidence: 99%

Sonographic morphology of gynaecological pelvic masses and its correlation with the histopathological diagnosis

Solanki¹,

Das²,

Mu³

et al. 2023

Int. J. Radiol. Diagn. Imaging

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The aim of the present study was to evaluate the sonographic morphology of pelvic masses and to correlate with the histopathological diagnosis of the patients who underwent surgical intervention. Methods: This observational study was conducted in the Department of Radiology of JJM Medical College, Davangere Karnataka, India for a period of 1.5 years. 100 patients with complaints suggestive of a pelvic mass were included in this study. The final diagnosis was correlated with histopathological diagnosis. The histopathological diagnosis was considered as the final diagnosis. Results: USG scan was performed in 100 female patients who presented with history, symptoms, and signs of a pelvic mass. Majority of the patients were in the age group of 40-50 years with mean age of 34.6 years. The minimum number was in the age group of below 20 and below 60 years. The most common chief complaint of female patients enrolled in our study was pain in pelvic cavity 35 (35%) followed by pain and palpable mass 16 (16%). Menstrual irregularity, menorrhagia, post-menopausal bleeding, infertility, and amenorrhea were the other less common complaints in the female patients of our study. Conclusion: USG is the most commonly preferred imaging tool to evaluate gynaecological masses. It is important to differentiate gynaecological and non-gynaecological masses on sonography for accurate management of the patient.

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“…Hard, irregular masses with restricted mobility increase the clinical suspicion of malignancy. As physical examination is not a reliable diagnostic tool as it has sensitivity of 51% USG has more pertinent role in initial diagnosis according to Shobha et al 8 . USG has many advantages being easily available and relatively inexpensive but a lot depends upon operator's experience 9 .…”

Section: Discussionmentioning

confidence: 99%

Ovarian Masses in Women: A Retrospective Analysis in Tertiary Care Center

Urooj

Zohra

Akbar

et al. 2021

PAFMJ

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Objective: To describe the presenting signs and symptoms, clinic-pathological findings of ovarian masses and to establish diagnostic value of clinical examination, ultrasonography and its correlation with histopathological diagnosis. Study Design: Cross-sectional study. Place and Duration of Study: Combined Military Hospital, Rawalpindi Jun 2017 May 2018. Methodology: Women who underwent surgery for ovarian masses were included. Data was collected from hospital records including; age, presenting symptoms, duration of symptoms, changes in menstrual cycle, and the results of the physical examination. The preliminary diagnoses as well as the final diagnosis were noted. Results: A total of 83 patients with ovarian masses, who underwent surgery over the period of a year, were included. The most common symptom was abdominal pain in 56 (67.5%) followed by abdominal distention 9 (10.8%), dysmenorrhea 8(9.6%). When both clinical and sonological diagnosis were combined, the overall sensitivity, specificity, positive and negative predictive value for diagnosis and discriminating benign and malignant ovarian neoplasms were 87.5%, 96.7%, 70%, and 98.88%, respectively. Conclusion: In this study most, common symptom was abdominal pain both in benign and malignant ovarian masses. Whereas, abdominal distention was more common in malignant masses. Preoperative diagnostic approach should always include careful history taking, physical examination, imaging and evaluation of tumor markers. Early detection, thorough treatment and regular follow-up are the need of time to reduce the morbidity and mortality.

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Clinicopathological spectrum of gynecological pelvic masses: a cross-sectional study

Cited by 4 publications

References 8 publications

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

Sonographic morphology of gynaecological pelvic masses and its correlation with the histopathological diagnosis

Ovarian Masses in Women: A Retrospective Analysis in Tertiary Care Center

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