To Study the Pattern and Clinicopathological Correlation of Adnexal Masses

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Chaitra Mhetre, Supriya Patil, Yamini Patil

Abstract

Background: For a treating physician, adnexal masses may provide an indication for a problem. The current study's objective was to ascertain the frequency of several types of ovarian tumours and its association with clinico pathologic characteristics in patients visiting department of gynaecology, KIMS, Karad. Our goal was to investigate the ovarian lesions' and its clinico pathologic features.


Objective: Examine and corelate the relationship between pathological features of masses and its clinical appearances.


Method: This six-year retrospectively examination, which had 550 occasions of adnexal masses overall, was carried out at Department of Gynaecology, KIMS, Karad. The Pathology department provided the histological data, while the obstetrics and gynaecological department's system provided the clinical information. Microsoft Excel was used to record the findings and SPSS software to analyse the data.


Results: Of total adnexal masses, ovarian pathology was responsible for 76.36%, while the fallopian tube was the source of 23.63% of the cases. From the ovarian infections, we identified 168 cancerous and 252 non-neoplastic lesions. Of the ovarian neoplasms, 91 percent (91.1%) constituted benign, 7.1% cancerous, and 1.8% were intermediate aggressive. The most prevalent kind of cancers (46.4%) were serous tumours, which followed by mucinous and germinating cell cancers (23.2% each). Cysts caused by endometriosis were the most prevalent non-neoplastic lesion (34.5%).


Conclusion: Adhesion prevention techniques for benign ovarian tumours should be used, and surgical treatment should strive to preserve fertility. Tumour markers are a useful diagnostic tool, although they are unreliable when used alone and have little efficacy in identifying benign from aggressive pelvic masses.

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