Role of Usg and Ct Scan in Evaluation of Female Pelvic Pathology

Abstract

BACKGROUND Ultrasound is the imaging modality of choice for the female pelvis. It can determine the organ or site of abnormality and provide a diagnosis or short differential diagnosis. Doppler sonography helps to assess normal and pathologic blood flow. Present study was done at our tertiary care center to study the role of USG and computed tomography (CT) scan in evaluation of female pelvic pathology and to assess the merits and demerits of USG and computed tomography (CT) scan over each other in characterizing pelvic pathology. METHODS 100 patients were selected for study. All patients with female pelvic pathology were included in my study. Computed tomography (CT) and USG characteristics of different lesions were noted and recorded. RESULTS Most common age of presentation of endometrial pathology was between 50 to 70 years, cervical pathology between 40 to 49 years and ovarian pathology between 50 to 59 years. Out of 100 patients, 45 patients were having cervical cancer. 30 patients were having ovarian cancer and 18 patients were having endometrial cancer. 2 cases of fibroid, 2 cases of GTN and 3 cases of simple cyst were also noted. CONCLUSIONS Ultrasonography is usually the first imaging modality in evaluation of female patients suspected to have pelvic pathology. Computed tomography is the superior diagnostic imaging modality compared to USG prior to treatment. It improved detection and characterization of tumour which contribute to better diagnostic accuracy.