Clinicopathological study of Tubo ovarian masses- A study of 110 cases

Abstract

An adnexal mass is a common clinical presentation in gynecological practice. Differential diagnosis of an adnexal mass can vary from a life threatening emergency like ectopic gestation to a malignant lesion with a high mortality rate, so it poses diagnostic challenge for treating gynecologist.To study the histopathological nature of adnexal masses.110 cases of adnexal masses who underwent surgical intervention during the study period of one year were included in the study. Specimen received in the department of Pathology and was subjected to histopathological examination.A total of 110 cases formed the study group. In our study 79% of cases of adnexal masses had an ovarian origin, 15.45% cases were of tubal origin and 5.45% cases had combined pathology i.e due to tubovarian abscess and endometriosis. Among Ovarian lesions 9.1% had non neoplastic cyst like corpus luteal cyst or endometriosis whereas 50% cases had a surface epithelial lesion. 77 cases out of a total of 110 were ovarian in origin, out of which 57(74%) were benign, 05(6.5%) were borderline and 15(19.5%) were malignant.To conclude, adnexal mass often poses a diagnostic dilemma to the treating physician. Ectopic gestation is often a cause of adnexal mass among patients of reproductive age group. Ovarian neoplasm constitute another major cause of adnexal mass, serous cyst adenoma is the commonest benign lesion seen while serous cyst adenocarcinoma is the commonest malignant ovarian lesion.