Tips and tricks in management of adnexal mass lesions

Abstract

Considering the diversities and dilemmas in management of Adnexal Masses Lesions and its prevalence among prior hysterectomy women, a prospective cohort study on clinico sonologic and pathological correlation of adnexal mass lesions specially focused at those with prior hysterectomy was planned. Among 105 subjects we found 21 % ( 22) were in prior hysterectomy patients. Prevalence of AM lesion was 8.5%, among them ovarian aetiology was 81%, of which 80% are neoplastic. Mean age for non-neoplastic, benign, and malignant masses are 32, 39 and 41 years, respectively. Mean age at hysterectomy was 29.28 years among prior hysterectomy group. Mean interval between hysterectomy and presentation with residual ovarian syndrome is 7.8 year. We report a case of endometrioid adeno carcinoma of ovary and a rare case of retroperitoneal leiomyomata respectively 13 years and 5years after AH. A significantly high portion of prior hysterectomy patients were managed conservatively. The study reiterates improperly documented young age hysterectomy as a concern in managing such patients.