Correlation between Clinical, Operative and Histopathological Findings of Adnexal Masses – A Study of 50 Cases

Dilara Rahman, A Jahan, Asma Akter, Mossammat Tahmina Parvin, Jasrin Akter Mile, Salma Rouf
In: Central Medical College Journal · 2023 · vol. 6(2) , pp. 62–66 · doi:10.3329/cemecj.v6i2.67067 · W4381164788
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This prospective study of 50 patients compared clinical, operative, and histopathological findings for adnexal masses, revealing that while sonography guides diagnosis, surgical confirmation remains necessary.

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This prospective observational study evaluated the diagnostic accuracy of clinical and sonographic findings in predicting the pathology of adnexal masses among 50 patients undergoing surgical intervention. The researchers compared pre-operative clinical assessments with definitive per-operative and histopathological results, noting a moderate correlation for specific diagnoses such as ovarian endometrioma and benign ovarian tumors. While clinical evaluation provided useful guidance, the authors concluded that surgical confirmation and histopathology remain essential for accurate diagnosis due to discrepancies between initial assessments and final pathological outcomes. This paper is centrally about adenomyosis-related conditions, specifically focusing on ovarian endometriomas which are a form of endometriosis affecting the adnexa.

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Abstract

Background: Adnexal mass has multidimensional diagnosis that may be related to fallopian tube, ovary etc. These masses may be benign, intermediate and malignant. The ability of clinical approach to diagnose the exact pathology of adnexal mass is still a question. Objective: To explore the correlation of clinical findings with operative and histopathological findings of adnexal masses. Method and Materials: A prospective and observational study was conducted in a tertiary hospital during the period of July 2015 to December 2015. 69 patients were selected according to purposive sampling and further scrutinized according to selection criteria, which were clinically diagnosed as adnexal mass. All the 50 patients undergone surgical intervention followed by histopathology. All the patients’ data were recorded through a semi-structured data collection sheet. Result: Study shows clinical and post-operative (per-operative + histopathology) findings of adnexal masses were 54% vs 50% for ovarian endometrioma, 24% vs 22% for benign ovarian tumor and 22% vs 26% for other adnexal masses respectively. Conclusion: Clinical findings with the help of sonography can guide effectively to the diagnosis of adnexal masses. However, per-operative and histopathological findings are required for the confirmation. Central Medical College Journal Vol 6 No 2 Jauly 2022 Page: 62-66
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Keywords

Adnexal MassAbstract

Background

Adnexal mass has multidimensional diagnosis that may be related to fallopian tube, ovary etc. These masses may be benign, intermediate and malignant. The ability of clinical approach to diagnose the exact pathology of adnexal mass is still a question.

Objective

To explore the correlation of clinical findings with operative and histopathological findings of adnexal masses.

Method

and Materials: A prospective and observational study was conducted in a tertiary hospital during the period of July 2015 to December 2015. 69 patients were selected according to purposive sampling and further scrutinized according to selection criteria, which were clinically diagnosed as adnexal mass. All the 50 patients undergone surgical intervention followed by histopathology. All the patients’ data were recorded through a semi-structured data collection sheet.

Result

Study shows clinical and post-operative (per-operative + histopathology) findings of adnexal masses were 54% vs 50% for ovarian endometrioma, 24% vs 22% for benign ovarian tumor and 22% vs 26% for other adnexal masses respectively.

Conclusion

Clinical findings with the help of sonography can guide effectively to the diagnosis of adnexal masses. However, per-operative and histopathological findings are required for the confirmation. Central Medical College Journal Vol 6 No 2 Jauly 2022 Page: 62-66 215 214 Downloads Published How to Cite Issue Section License Copyright (c) 2022 Central Medical College Journal This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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endometrioma

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