Adenexal cysts survey of ultrasonography, preoperative findings, histopathology | [Professional Medical Journal • 2011]

Author(s):

1. Tehreen Riaz: Department of Obs, & Gynae, Ghurki Trust Teaching Hospital, Lahore, Pakistan

2. Sarwat Jabeen: Department of Obs. & Gynae, Sir Ganga Ram hospital, Lahore, Pakistan

3. Waseem Talib: Department of Obs, & Gynae, Ghurki Trust Teaching Hospital, Lahore, Pakistan

4. Nabeela Shami: Department of Obs, & Gynae, Ghurki Trust Teaching Hospital, Lahore, Pakistan

Abstract:

Subject and method: 150 patients presented with adnexal cysts on preoperative ultrasonography, peroperative findings and histopathology reports. These patients were followed up in OPD. Results: Showed the distribution of non-neoplastic and neoplastic tumours which were 84% and 16% respectively. The occurrence of malignancy increased with advancing age especially after 45 years Common presentations were lower abdominal pain (53%) followed by menstrual disturbances (30%), abdominopelvic mass, abdominal distension and infertility. Risk of malignancy also increased with parity. 73% masses were unilateral, 84% benign masses were unilocular whilst 85% malignant masses were echogenic and the complex cysts with papillary projection and multiloculations showed 3-6 times higher risk of malignancy. Most patients were managed by exploratory laparotomy. Cystectomy and total abdominal hysterectomy were the commonest procedures performed. Regarding histopathologic evaluation 40% patients had tumours, 2.66% borderline malignancy and 13.3% malignant. 44% had non-neoplastic lesions. Serous and endometriotic cysts were the commonest benign histopathologic types and among malignant ones, epithelial ovarian tumours were the leading variants. Conclusions: Preoperative characterization of adnexal masses using sonographic and demographic data may have considerable potential in determining risk of malignancy and may be advantageous in terms of counseling patients for management.

Page(s): 32-40

DOI: DOI not available

Published: Journal: Professional Medical Journal, Volume: 18, Issue: 1, Year: 2011

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