Role of ultrasound in evaluation of ovarian lesions and its correlation with histopathological findings

https://doi.org/10.53730/ijhs.v6nS2.7593

Authors

  • Rajeshkumar Rathore Professor, Department of Radiodiagnosis, S.B.K.S. Medical Institute &Research Centre, Sumandeep Vidyapeeth, Pipariya, Waghodia, Vadodara, Gujarat, India
  • Siddharth Nagrani Resident, Department of Radiodiagnosis, S.B.K.S. Medical Institute &Research Centre, Sumandeep Vidyapeeth, Pipariya, Waghodia, Vadodara, Gujarat, India
  • Bhavya Shah Resident, Department of Radiodiagnosis, S.B.K.S. Medical Institute &Research Centre, Sumandeep Vidyapeeth, Pipariya, Waghodia, Vadodara, Gujarat, India
  • Krunal Shah Resident, Department of Radiodiagnosis, S.B.K.S. Medical Institute &Research Centre, Sumandeep Vidyapeeth, Pipariya, Waghodia, Vadodara, Gujarat, India

Keywords:

ovarian lesions, histopathological, ovarian tumour

Abstract

Introduction: Ovarian lesions are the most common pathology in gynaecology. They present with pelvic pain, menstrual abnormalities. Sonography is non-invasive, radiation-free, cost effective and widely available. The characterization of ovarian masses and distinguishing between benign and malignant pathology is of utmost importance to enable decisions regarding optimal treatment. Material And Methods: A prospective study was done in a sample of 100 patients suspected of having ovarian lesions on the basis of history and clinical examination. All the patients were subjected to transabdominal sonography with full bladder technique using 3.5 - 5.5 MHz curvilinear transducer and 10 MHz linear transducer. TVS was performed whenever required to obtain additional findings. Histopathological findings were correlated with the findings on sonography. Results: A total of 100 patients with clinically suspected ovarian pathology were examined by ultrasound and histopathological comparison was done.Out of 70 patients with benign lesions, 66 patients were correctly diagnosed on ultrasonography (94%). Out of total 30 patients with malignant tumours, 26 (87%) patients were correctly diagnosed on ultrasonography. Conclusion: The present study evaluates ovarian mass by USG considering histopathological examination of post operative specimen as gold standard. 

Downloads

Download data is not yet available.

References

Kaijser J. Towards an evidence-based approach for diagnosis and management of adnexal masses: findings of the International Ovarian Tumour Analysis (IOTA) studies. Facts Views Vis Obgyn 2015; 7:42.

Gupta A, Jha P, Baran TM, et al. Ovarian Cancer Detection in Average-Risk Women: Classic- versus Nonclassic-appearing Adnexal Lesions at US. Radiology 2022; :212338.

Valentin L. Prospective cross-validation of Doppler ultrasound examination and grayscale ultrasound imaging for discrimination of benign and malignant pelvic masses. Ultrasound Obstet Gynecol 1999; 14:273-283.

Sassone AM, Timor-Tritsch IE, Artner A, et al. Transvaginal sonographic characterization of ovarian disease: Evaluation of a new scoring system to predict malignancy. Obstet Gynecol 1991; 78:70.

Patel MD. Practical approach to the adnexal mass. Radiol Clin North Am 2006; 44:879.

Patel MD, Feldstein VA, Filly RA. The likelihood ratio of sonographic findings for the diagnosis of hemorrhagic ovarian cysts. J Ultrasound Med 2005; 24:607.

Ferrazzi E, Zanetta G, Dordoni D et al: Transvaginal ultrasonographic characterization of ovarian masses: A comparison of five is scoring systems in a multicenter trial. Ultrasound Obstet Gynecol 1997; 10: 192.

Sayasneh A, Ekechi C, Ferrara L, et al. The characteristic ultrasound features of specific types of ovarian pathology (review). Int J Oncol. 2014;46(2):445–458.

Wasnik AP, Menias CO, Platt JF, Lalchandani UR, Bedi DG, Elsayes KM. Multimodality imaging of ovarian cystic lesions: Review with an imaging based algorithmic approach. World J Radiol. 2013;5(3):113–125.

Jung SI. Ultrasonography of ovarian masses using a pattern recognition approach. Ultrasonography. 2015;34(3):173–182.

Ekici E, Soysal M, Kara S, Dogan M, Gokmen O. The efficiency of ultrasonography in the diagnosis of dermoid cysts. Zentralbl Gynakol. 1996;118(3):136-41.

Athey PA, Malone RS. Sonography of ovarian fibromas/thecomas. J Ultrasound Med. 1987 Aug;6(8):431-6.

Tongsong T, Wanapirak C, Khunamornpong S, Sukpan K. Numerous intracystic floating balls as a sonographic feature of benign cystic teratoma: report of 5 cases. J Ultrasound Med 2006; 25:1587.

Published

19-05-2022

How to Cite

Rathore, R., Nagrani, S., Shah, B., & Shah, K. (2022). Role of ultrasound in evaluation of ovarian lesions and its correlation with histopathological findings. International Journal of Health Sciences, 6(S2), 9951–9958. https://doi.org/10.53730/ijhs.v6nS2.7593

Issue

Section

Peer Review Articles