1Senior Advisor, Obstetrics & Gynaecology, Base Hospital & Army College of Medical Sciences, Delhi Cantt., New Delhi
2Assistant Professor, Obstetrics & Gynaecology, Vardhmman Mahavir Medical College & Safdarjang Hospital, New Delhi, India
3Senior Advisor & Assis. Professor, Obstetrics & Gynaecology, Armed Forces Medical College, Pune, India
4Assistant Professor, Obstetrics & Gynaecology, University College of Medical Sciences, New Delhi
5Specialist, Vardhmman Mahavir Medical College & Safdarjung Hospital, New Delhi
*Corresponding author: Garima Kapoor, Assistant Professor, Obstetrics & Gynaecology, Vardhmman Mahavir Medical College & Safdarjang Hospital, New Delhi, India- 110029 Mobile no.: 09810504509 Email: garimak79@yahoo.co.in. Address: A 1/7, Paschim Vihar, New Delhi-110063, India
Online published on 27 May, 2015.
To evaluate the accuracy of a combination of CA-125 levels, pattern recognition approach on ultrasound, presence or absence of ascites and Resistance Index on Doppler ultrasound for predicting benign adnexal masses.
All cases of adnexal were enrolled into the study from Jan 2008 to Jul 2011, and then subjected to risk evaluation for any underlying malignancy. A combination of CA-125 levels, pattern recognition approach on ultrasound, presence or absence of ascites and Resistance Index on Doppler ultrasound were used for predicting benign adnexal masses which were then taken up for laparoscopic management and evaluation.
Out of the 136 patients enrolled into this study, the histopathology report confirmed benign pathology in 134 patients (98.53%), while borderline tumor of low malignant potential was reported in one (0.74%) and mucinous cystadenocarcinoma in one patient (0.74%).
Hence, by using simple readily available investigations like ultrasound (pattern recognition approach, tumor morphology and ascites) and CA-125, the nature of adnexal mass can be reliably predicted and these patients can be safely offered the benefits of laparoscopic surgery.
Laparoscopic, Adnexal Mass, Ultrasound, Selection Criteria
