Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian population

Background: Adenexal masses present diagnostic challenges. After identification of the ovarian mass, the most critical step is to determine the degree of suspicion for malignancy. It is mainly based on imaging modalities and clinicopathological correlation. Aims and Objectives: This radiological...

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Main Authors: Dona Saha, Ram Chandra Bhadra, Nabonita Biswas
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2022-10-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/45625
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author Dona Saha
Ram Chandra Bhadra
Nabonita Biswas
author_facet Dona Saha
Ram Chandra Bhadra
Nabonita Biswas
author_sort Dona Saha
collection DOAJ
description Background: Adenexal masses present diagnostic challenges. After identification of the ovarian mass, the most critical step is to determine the degree of suspicion for malignancy. It is mainly based on imaging modalities and clinicopathological correlation. Aims and Objectives: This radiological study was designed to differentiate benign and malignant ovarian masses by contrast enhanced-computed tomography (CECT) of abdomen and correlation of the radiological findings with histopathological report. Materials and Methods: This was a hospital-based prospective study conducted in Department of Radiodiagnosis, Nilratan Sircar Medical College and Hospital, Kolkata during January 2019–June 2020. The study was done on clinically suspected 50 patients of 15–50 years with ovarian mass having CECT diagnosed solid/complex solid cystic mass. Results: Among 50 cases under study, 37(74.0%) were benign which was significantly higher than that of malignant cases (26.0%). Malignancy was significantly associated with wall irregularity, solid-cystic composition, presence of thick septations, septal enhancement, presence of both septal, and solid enhancement pattern in CECT. Conclusion: Based on the results of the present study, multi-detector contrast-enhanced CT could be a rapid non-invasive and cost-effective step in the evaluation of ovarian masses.
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spelling doaj.art-0463962553f647c78484da155ea55b992022-12-22T03:52:45ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-10-011310243247https://doi.org/10.3126/ajms.v13i10.45625Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian populationDona Saha 0https://orcid.org/0000-0003-4707-6160Ram Chandra Bhadra 1https://orcid.org/0000-0001-9393-6673Nabonita Biswas 2https://orcid.org/0000-0002-4139-4451Assistant Professor, Department of Anatomy, Bankura Sammilani Medical College, Bankura, West Bengal, India Associate Professor, Department of Radiodiagnosis, Nilratan Sircar Medical College, Kolkata, West Bengal, India Senior Resident, Department of Radiodiagnosis, Nilratan Sircar Medical College, Kolkata, West Bengal, India Background: Adenexal masses present diagnostic challenges. After identification of the ovarian mass, the most critical step is to determine the degree of suspicion for malignancy. It is mainly based on imaging modalities and clinicopathological correlation. Aims and Objectives: This radiological study was designed to differentiate benign and malignant ovarian masses by contrast enhanced-computed tomography (CECT) of abdomen and correlation of the radiological findings with histopathological report. Materials and Methods: This was a hospital-based prospective study conducted in Department of Radiodiagnosis, Nilratan Sircar Medical College and Hospital, Kolkata during January 2019–June 2020. The study was done on clinically suspected 50 patients of 15–50 years with ovarian mass having CECT diagnosed solid/complex solid cystic mass. Results: Among 50 cases under study, 37(74.0%) were benign which was significantly higher than that of malignant cases (26.0%). Malignancy was significantly associated with wall irregularity, solid-cystic composition, presence of thick septations, septal enhancement, presence of both septal, and solid enhancement pattern in CECT. Conclusion: Based on the results of the present study, multi-detector contrast-enhanced CT could be a rapid non-invasive and cost-effective step in the evaluation of ovarian masses.https://www.nepjol.info/index.php/AJMS/article/view/45625contrast-enhancedcomputed tomography; ovarian mass; malignancy; histo-pathology; complex cyst
spellingShingle Dona Saha
Ram Chandra Bhadra
Nabonita Biswas
Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian population
Asian Journal of Medical Sciences
contrast-enhancedcomputed tomography; ovarian mass; malignancy; histo-pathology; complex cyst
title Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian population
title_full Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian population
title_fullStr Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian population
title_full_unstemmed Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian population
title_short Radiological evaluation of ovarian mass by contrast-enhanced computed tomography abdomen with clinicopathological correlation in Eastern Indian population
title_sort radiological evaluation of ovarian mass by contrast enhanced computed tomography abdomen with clinicopathological correlation in eastern indian population
topic contrast-enhancedcomputed tomography; ovarian mass; malignancy; histo-pathology; complex cyst
url https://www.nepjol.info/index.php/AJMS/article/view/45625
work_keys_str_mv AT donasaha radiologicalevaluationofovarianmassbycontrastenhancedcomputedtomographyabdomenwithclinicopathologicalcorrelationineasternindianpopulation
AT ramchandrabhadra radiologicalevaluationofovarianmassbycontrastenhancedcomputedtomographyabdomenwithclinicopathologicalcorrelationineasternindianpopulation
AT nabonitabiswas radiologicalevaluationofovarianmassbycontrastenhancedcomputedtomographyabdomenwithclinicopathologicalcorrelationineasternindianpopulation