Evaluation of Adnexal Masses: A Correlation of Clinical, Ultrasound and Histopathological Findings

Adnexal mass is a commonly encountered gynecologic problem. Majority of them are primary diseases of the ovary or fallopian tube, but pathological involvement of structures like the broad ligament, uterus, bowel, or retroperitoneum, or metastatic disease such as the breast or stomach may also present. Pelvic ultrasonography (US) remains the imaging modality most frequently used to detect and characterize adnexal masses. Although evaluation is often aimed at distinguishing benign from malignant masses, the majority of adnexal masses are benign. About 90% of adnexal masses can be adequately characterized with US alone. The study aimed to determine the etiology, varied presentations, and correlation with ultrasonographic, operative and histopathologic findings of the adnexal masses. This study of adnexal masses had most of ovarian origin in 71% cases, 75% were in 20-49years age group, 86% were operated for benign pathology. The accuracy of preoperative ultrasound in our study was highest in dermoid cysts followed by endometriotic cysts and poorest in paraovarian cysts. The commonest ovarian tumor was benign epithelial tumor, Serous cystadenoma.