Sonographic Evaluation of Morphology of Pelvic Masses and to Correlate with the Histopathological Diagnosis of the Patients who Underwent Surgical Intervention

Aim: The aim of this study was to evaluate the sonographic morphology of pelvic masses and to correlate with the histopathological diagnosis of the patients who underwent surgical intervention. Material and Methods: A cross-sectional prospective study was conducted in the Department of Radiology, Netaji Subhas Medical College and Hospital, Amhara, Bihta, Patna, Bihar, India for 12 months. Total 100 female patients with gynecological masses using high resolution ultrasonography and findings correlated with histopathology or serial sonographic examination. Results: Majority of the patients were in the age group of 40-50 years with mean age of 36.3 years. The minimum number was in the age group of below 20 years. The most common chief complaint of female patients enrolled in our study was pain in pelvic cavity 36 (36%) followed by pain and palpable mass 16(16%). Menstrual irregularity, menorrhagia, post-menopausal bleeding, infertility, and amenorrhea were the other less common complaints in the female patients of our study. Out of 100 patients evaluated by ultrasonography 25 (25%) were having ovarian pathologies and 45(45%) were having uterine pathologies. 11(11%) patients presented with localized collection in to the fallopian tube pathologies. Few cases there were involvement 8(8%) of vagina. Fibroids were the most common uterine masses. Conclusion: The USG is most commonly preferred imaging tool to evaluate gynecological masses. It’s important to differentiate gynecological and non-gynecological masses on sonography for accurate management of the patient.