World Journal of
Pharmaceutical and Life Sciences

ACCURACY OF ULTRASONOGRAPHY IN DIAGNOSIS OF ADNEXAL MASSES IN CORRELATION TO HISTOPATHOLOGICAL EXAMINATION AFTER SURGICAL INTERFERENCE

Dr. Hany M. Abd El-Aal*, Ehab H. Mohamed and Mohamed F. S. Saed

ABSTRACT

Pelvic mass lesions are commonly encountered in gynecological practice among women of all ages. The evaluation of adnexal masses includes a thorough history, clinical examination, imaging studies like ultrasonography, computed tomography scan or magnetic resonance imaging and tumor markers. Ultrasound examination is the standard diagnostic test for evaluation of a pelvic mass. Transvaginal sonography (TVS) along with colour doppler gives better results for assessing ovarian morphology and vascularity. Our study evaluated the capacity of ultrasound criteria in women having adnexal masses, before surgical intervention, correlated with histopathological examination. All patients in this study was subjected to complete history taking, general examination, abdominal examination, pelvic and bimanual examinations and pelvic ultrasound scanning. Patients underwent surgical intervention. All specimens were removed and sent for histopathological examination assay. Age of our studied patients ranged from 18 to 60 years with mean 40.05 years. The present study revealed significant difference between tumor types and both patients’ parity and menstrual history. Also, there is statistically significant difference between type of tumor among the studied patients and ultrasongraphic features. Solid consistency of adnexial mass predict its malignant nature with sensitivity 74.2%, specificity 90.6%, positive predictive value 78%, negative predictive value 88.7%, and accuracy 85.5%. Presence of papillary projection of adnexal mass predict its malignant nature with sensitivity 91.9%, specificity 56.5%, positive predictive value 48.7%, negative predictive value 94% and accuracy 67.5%. Positive findings on ultrasound predict its malignant nature with sensitivity 91%, specificity 97.8%, positive predictive value 95%, negative predictive value 96.4% and accuracy 96%. Conclusion: Transvaginal ultrasonography is the recommended imaging modality for suspected or incidentally identified pelvic mass.

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