Shivani Khandelwal1, Lakra Pinkey2, Sangwan Vijayata3, Mahendru Rajiv4 Siwach Sunita5, Gathwal B. Monika6
BACKGROUND
There is a wide range of adnexal masses ranging from functional cyst to infection
and even malignancy. Epithelial ovarian tumours are the most common benign
ovarian lesion. The purpose of this study was to study the pattern of adnexal
masses in rural area and plan the preventive steps according to the pattern.
METHODS
It was a retrospective study of patients who presented with adnexal masses in
Bhagat Phool Singh Medical College (Women), Khanpur, Sonepat, Haryana, India
over a period of 5.5 years from September 2012 to August 2018. The file records
of the patients who underwent surgery for adnexal masse were evaluated to
identify the risk factors, presenting complaints, examination findings, serological
markers and radiological findings. The histopathological reports were reviewed.
The cases excluded were ectopic pregnancies. Frequency distribution tables were
used and data was analyzed using percentages.
RESULTS
Out of total 180 adnexal masses, 167 (92.77 %) cases were of ovarian origin. Out
of these, 150 (83.33 %) cases were benign and 17 (9.44 %) were malignant.
Among the benign lesions, serous cystadenoma was the most common lesion
counting for 54 cases i.e., 30 %. In our study, most common symptom was vague
abdominal pain- 63.88 %. Maximum adnexal masses were in the age group of 41
- 50 years i.e., 53 (29.44 %). Different types of surgeries were done. Maximum
were bilateral oophorectomies with transabdominal hysterctomy 88 (48.88 %).
CONCLUSIONS
By proper education about personal and perineal hygiene, use of contraceptives,
we can at least prevent some sexually transmitted diseases causing pelvic
inflammatory disease (PID) and adnexal masses.
