Comprehensive review of adnexal masses in a tertiary care hospital

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dc.contributor.authorA., Betty Janiceen_US
dc.contributor.authorA., Padmaen_US
dc.date.accessioned2024-09-24T09:06:22Z
dc.date.available2024-09-24T09:06:22Z
dc.date.issued2023-09
dc.description.abstractBackground: Adnexal masses can be either be a physiological luteal cyst, a benign tubo-ovarian mass or a malignancy. The signs and symptoms along with tumour markers and imaging modalities are considered to differentiate between a benign and a malignant adnexal mass. Adnexal masses in pregnancy can be asymptomatic or can present with acute abdomen in cases of ectopic pregnancy and torsion. The aim was to study the prevalence of various histopathologic types of adnexal masses in different age groups.Methods: This was a retrospective study carried out in the department of obstetrics and gynecology in a tertiary care hospital from May-2019 to April-2022. Women with sonographically diagnosed adnexal mass were evaluated. Data regarding ultrasound findings, tumour markers, RMI score and the management done were recorded from medical record charts. Descriptive statistics was applied and results shown in the form of frequencies and percentages.Results: Among 31 study participants, the most common presentation was pain abdomen. Majority (93.5%) patients had benign adnexal pathology and 6.45% had malignant pathology. The most common ovarian pathology encountered was Benign surface epithelial tumours (48.4%). Early diagnosis of 2 tubal ectopic and 1 ovarian ectopic pregnancy was made and managed conservatively.Conclusions: Early diagnosis and intervention is helpful in adolescent girls to conserve their ovarian function. Early diagnosis of ectopic pregnancy in stable patients can be managed conservatively. A high RMI should raise a suspicion of malignancy.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Pondicherry Institute of Medical Sciences, Puducherry, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Pondicherry Institute of Medical Sciences, Puducherry, Indiaen_US
dc.identifier.citationA. Betty Janice, A. Padma. Comprehensive review of adnexal masses in a tertiary care hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Sep; 12(9): 2804-2808en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232420
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber9en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20232742en_US
dc.subjectAdnexal massen_US
dc.subjectCA-125en_US
dc.subjectEctopic pregnancyen_US
dc.subjectOvarian malignancyen_US
dc.subjectOvarian tumouren_US
dc.subjectRMIen_US
dc.subjectTubo-ovarian massen_US
dc.subjectTumour markersen_US
dc.titleComprehensive review of adnexal masses in a tertiary care hospitalen_US
dc.typeJournal Articleen_US
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