Histopathological study of female pelvic masses in a tertiary care centre of central india: with mri correlation

Radhika Rajesh Nandwani., Rekha V Agrawal and Mohamed Nishad P

Introduction: Pelvic masses in females are a diagnostic challenge, given their proximity to a variety of pelvic structures and because of a long list of a broad differential diagnosis. Distinction between malignant, benign and inflammatory lesions is vital for patient’s management. Objective: The objective of the study was to analyze pre- and postoperative findings of patients with pelvic masses and to predict the utility of Magnetic Resonance Imaging in diagnosis of pelvic masses. The histopathological findings were correlated with pre-operative USG & MRI findings Materials And Methods: The study was prospective and was carried out between March 2015 to August 2016 at the Department of Pathology and Radiology, N.S.C.B. Govt. Medical College, Jabalpur. Clinical, imaging & pathological correlation of 94 cases was done for diagnosing pelvic masses accurately. After surgery we analyzed histopathological (HP) findings of lesions as a mean of final diagnosis and staging Results: Out of 94 cases, majority of the patients were in the age group between 30 – 50 years. Predominant symptoms of the patients were abdominal pain, menorrhagia, abdominal distension and dysmenorrhea. Among the lesions studied, majority of lesions were uterine 54.2% while 41.5% were adnexal lesions. Cervical cases comprised approximately 29% of the total uterine cases. Leiomyomas (69.4 %) was the commonest pathology detected. Among the adnexal lesions, maximum lesions were ovarian (87.1%). The most common adnexal lesions seen in our study was serous cyst adenoma (42.11%) followed by mature cystic teratomas (26.32%). The diagnosis given on ultrasound & MRI was confirmed with histo-pathological findings. Conclusion: This study illustrates clinical and radiological examination are useful initial steps in work-up of pelvic lesions but histopathological studies plays an important role in assessing pelvic masses and in choosing the appropriate management.

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DOI: http://dx.doi.org/10.24327/23956429.ijcmpr20170022