Introduction: Adnexal masses are a common entity in gynaecological practice. These masses may be benign or malignant, tubal or ovarian or both. Clinician must be aware of their differential diagnosis to triage the patients and ensure optimum therapeutic approach.

Objective: The objective of this study were to analyse the diverse clinical spectrum of adnexal masses and to correlate the preoperative diagnosis based on clinical examination and ultrasonography with  histopathological examination.

Method: This was a cross sectional observational study on 189 patients with a diagnosis of adnexal mass who underwent laparoscopy or laparotomy. All the patients were were evaluated by a complete history, general,abdominal and pelvic examination, followed by ultrasonography. These preoperative findings were then correlated with histopathological diagnosis.

Results: 41.26 % of the patients were in the age group 21-30 years .46.03 % of all cases were benign ovarian tumor. There were 5 ovarian malignancies. Preoperative ultrasonography correlate well with histopathological diagnosis.

Conclusion: A systematic approach consisting of a proper history, clinical examination, imaging studies and accurate interpretation of diagnostic preocedure is necessary for the triage and optimum management of adnexal masses in women.

Keywords: adnexal masses, histopathological diagnosis, ovarian masses, ultrasonography.

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Dr Ratna Panda

Assistant Professor, Department of Obstetrics and Gynaecology, IMS and SUM Hospital, Bhubaneswar

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