Ravi Kumar Marri1, Sushmita Palleboina2
BACKGROUND
Ultrasonography (USG) is the diagnostic test of choice in evaluating pelvic masses.
Because of considerable overlap in the morphologic pattern of different pelvic
masses, diagnosis should be correlated with histopathological findings. We wanted
to do an ultrasonographic evaluation of pelvic masses and study its correlation
with histopathology in a teaching hospital.
METHODS
This is a prospective study done among 40 cases subjected to USG at Department
of Radiology, Hyderabad, Telangana, over a period of seven months. The USG
findings were noted and were correlated with the final histopathological findings.
The sensitivity and specificity of ultrasound for malignancy were 75 % and 88.8
% respectively.
RESULTS
In the present study ovarian masses were most frequent (67.5 %), followed by
uterine (25 %) and adnexal masses (7.5 %). Majority of the benign pelvic masses
(67 %) were seen in the age group of 31 – 40 years while malignant pelvic masses
(15 %) were more common in the age group of 51 – 60 years.
CONCLUSIONS
Ultrasonography is the first choice imaging technique to investigate pelvic masses
in women. Of all gynaecological pelvic masses, ovarian masses are the
commonest. Sonography has good sensitivity and specificity and is very effective
in diagnosis of gynaecological masses and it correlates well with the final
histopathological diagnosis.
