DOI: 10.36347/sjams.2020.v08i02.040

Pages: 558-562

Introduction: Adnexal mass is a common clinical presentation in gynecologic practice and can be of gynaecologic or non gynaecologic origin. The term adnexal mass is most often used for masses involving the ovary because of the high propensity of the ovary for neoplasia. Materials and Methods: This study included all patients between 30-55 yrs with clinical diagnosis of adnexal masses who were admitted to Index medical college, hospital & research centre, Indore over period of 18 month. The study included 50 patients who underwent an ultrasound examination & Color Doppler. Following surgery, specimens were sent for histopathological examination, and the reports were correlated with pre-operative clinical and imaging findings. Results: Out of total 50 cases of adnexal masses, 24 were benign and 26 were malignant. Maximum no. benign cases of cases were in the age group 31-35yrs & maximum no. malignant cases of cases were in the age group 46-50 yrs. Diagnosis of benign and malignant adnexal masses by USG & Color Doppler had an overall diagnostic sensitivity of 100% and specificity of 92.3%. The positive predictive value was 92.85% and Negative predictive value was 100%. The overall diagnostic accuracy was 96.15%. Conclusion: Although the sensitivity of combined USG & Doppler in diagnosing adnexal masses is 100% but specificity is 92.3% so USG & Doppler findings should preferably be correlated with histopathological diagnosis because histopathological diagnosis is considered as Gold standard to rule out false positive & false negative cases.