Role of USG &amp; MRI in Female Pelvic Masses with Histological Correlation in Post-Operative Patients

Usmani, Yasmeen; Bhartiya, Pranav; Shukla, Mayank

doi:10.14260/jemds/2020/754

Cited by 2 publications

(5 citation statements)

References 40 publications

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“…In current study maximum number of pelvic masses were found to be fibroids followed by adenomyosis the results were in accordance to the reports published by Mishra et al The prominent complaints of patients with pelvic masses were observed to be abdominal pain, followed by lump in abdomen and bleeding P/V, thus results of current investigation thus depicted that pain or lump in lower abdomen can be considered as one of the most important complaints that should prompt a clinician to suspect a pelvic mass. The results were in accordance to the literature reports published by Usmani et al, Mishra et al, Anant et al and Hartman et al [21][22][23][24] A report published by Brown et al revealed that pelvic ultrasonography (US) remains the most frequently used imaging modality to detect and characterize adnexal masses, Brown et al also observed that majority of adnexal masses are benign and about 90% of adnexal masses can be adequately characterized with US alone. 25 Sonography allows a more elaborate assessment of morphologic and topological features of an adnexal mass.…”

Section: Disscussionsupporting

confidence: 89%

Role of sonography in the assessment of pelvic masses in women and its histopathological correlation

Saifi¹,

Karikazi²,

Shetty³

2022

Int J Res Med Sci

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Background: Abnormal growth of tissues in gynecologic pelvic organs like uterus, cervix or uterine adnexa are termed as female pelvic masses. Pelvic masses can be benign or malignant in nature. An efficient non-invasive treatment modality is essential for effective management and efficient treatment of pelvic masses. Current investigation is aimed towards estimating the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of ultrasonography in diagnosing pelvic masses and differentiating benign and malignant pelvic masses.Methods: A descriptive study was conducted on 100 volunteers for 12 months at ultrasound department of radio-diagnosis in a tertiary care center. Patients were examined through transabdominal ultrasonography, covering entire pelvis. Morphology of pelvic lesions were examined in longitudinal and transverse planes through Doppler coupled with ultrasonography. Post-surgery histopathological examination reports were correlated with pre-operative imaging findings.Results: Majority of patients included in current study belonged to <40 years of age group and exhibited benign pelvic masses. Sensitivity and specificity of ultrasound in diagnosing benign masses was observed to be 87.5 and 70 respectively with PPV of 92.1 and NPV of 58.3. Majority of benign lesions were hypoechogenic, whereas malignant lesions were of mixed echogenicity. Most of the malignant lesions showed echogenic focus significantly different from malignant lesions.Conclusions: Ultrasonography was concluded to be primary modality and best screening tool for evaluation of pelvic masses with high sensitivity and specificity for correctly diagnosing and differentiating benign and malignant pelvic lesions. Ultrasonography coupled with color Doppler was efficient in determining the morphological characteristics of pelvic masses.

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Section: Disscussionsupporting

confidence: 89%

Role of sonography in the assessment of pelvic masses in women and its histopathological correlation

Saifi¹,

Karikazi²,

Shetty³

2022

Int J Res Med Sci

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“…The most common lesions were cystadenoma / cystadenofibroma contributing 23.4 %, endometriomas (14.8 %), subserosal / broad ligament / intramural leiomyomas with large exophytic component (12.3 %), hemorrhagic cysts (9.8 %), and dermoid cysts (6.1 %), tubo-ovarian masses (8.6%), simple cyst (4.8%), Krukenberg tumor (4.9%), and cystadenocarcinoma (6.1 %), carcinoma cervix with large exophytic component (2.4%) as per the study done by Usmani Y et al [6].…”

Section: Discussionmentioning

confidence: 66%

“…The Positive predictive value and negative predictive value of USG were found to be 83.33% and 91.67% respectively. According to Usmani Y et al, when compared to, histopathological examination; in 37 operated patients with 38 adnexal lesions, the specificity, and accuracy of USG in identifying malignancy were, 93.7 percent, and 93.7 percent, respectively [6].…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, most of the patients with pelvic masses were of the age group between 15-49 years (65%) followed by 33% of patients who had ages > 50 years. Usmani Y et al, found that 40 out of 74 individuals, or 54% of the lesions, were discovered in subjects between the ages of 30 to 60, which was the most prevalent age range seen [6].…”

Section: Discussionmentioning

confidence: 99%

“…Whereas solid cystic lesions are more likely to be borderline or malignant. Usmani Y et al [6] noted that on the basis of type of content, solid lesions were 15, benign lesions constituted 86.6% (13) and malignant lesions were two (13.3 %). complex solid cystic lesions were 14, of which five (35.7 %) were benign and nine (64.2 %) were malignant.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Ultrasound and MRI Findings in the Evaluation of Pelvic masses/lesions with Histopathological Correlation in Female Patients

Kaushal¹,

Maravi²,

Goyal³

et al. 2022

IJMAHS

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Background- In this prospective study, we evaluated the role of magnetic resonance cholangiopancreatography (MRCP) as an imaging modality for identification and characterization of various pancreaticobiliary pathologies and to correlate MRCP findings with ultrasound (USG) findings. Methodology–This study was carried out as an observational study in Department of Radiodiagnosis, GMC Bhopal, for a study period of 20 months on patients suspected with pancreaticobiliary pathologies reporting for ultrasound examination. MRCP was performed following Ultrasound imaging (USG) with subsequent comparison of findings. Results- The sensitivity, specificity and diagnostic accuracy of ultrasound in detection of CBD dilatation were 86.21%. 100% and 92% respectively. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of ultrasound in detection of intrahepatic biliary radicle (IHBR) dilatation was 81.97%. 97.44%. 98.04%. 77.55% and 88% respectively. The sensitivity of USG for identification of benign lesions was 93.55% whereas that for malignant lesions was 96.15%. Overall, diagnostic accuracy of USG for identification of benign and malignant lesions was 84% and 87% respectively. Conclusion– Although abdominal ultrasound continues to serve as a screening tool for detection of pancreaticobiliary pathologies and allows for differentiation between surgical and non-surgical causes of obstructive jaundice, the in-depth characterization of lesions as provided by magnetic resonance imaging (MRI) with MRCP suggests that it serves as an indispensable adjunct to endoscopic retrograde cholangiopancreatography (ERCP). MRCP with MRI serves as an accurate and non-invasive, non-ionizing imaging method for evaluation of biliary anatomy and pathology especially in cases of obese patients where ultrasound results are compromised.

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Role of USG & MRI in Female Pelvic Masses with Histological Correlation in Post-Operative Patients

Cited by 2 publications

References 40 publications

Role of sonography in the assessment of pelvic masses in women and its histopathological correlation

Role of sonography in the assessment of pelvic masses in women and its histopathological correlation

Comparison of Ultrasound and MRI Findings in the Evaluation of Pelvic masses/lesions with Histopathological Correlation in Female Patients

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