Vol. 5, Issue 10 (2019)
Assessment of suspicious ovarian masses by using USG & CT Techniques
Author(s): Dr. Syed Arshad Hussain
Abstract: Probable causes of pelvic masses in women which may be found during physical examinations or radiological checking are very conflicting in different age groups. A pelvic mass may have gynaecologic origin or arise from urinary tract or intestines and since pelvic and ovarian masses with benign or malignant types might occur with different percentages at different ages, the importance of primary diagnosis and choosing proper surgical procedure is highly emphasized. Hence based on above findings the present study was planned to evaluate the clinical assessment of suspicious ovarian masses by using USG & CT techniques. The present study was planned in Department of Radio- Diagnosis, Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar. From july 2017 to Dec 2017. Total 50 patients of Histo pathologically confirmed cases of malignancies of nose and Para nasal sinuses are studied with regard to their clinical presentation, radiology, histopathology and treatment protocols. All the selected patients were subjected to detailed history, physical examination, ultrasonography and CT scan. Patients with ovarian masses and scheduled for surgery were included in this study, and patients with ovarian masses managed conservatively were excluded. Detailed history of allergy and renal function tests were taken before doing CT scan and if there was history of allergy then non-ionic contrast was used. USG should continue to be the primary radiological modality in evaluation of ovarian masses even today when cross sectional imaging has largely taken over gynecological imaging. However, if a lesion remains indeterminate on USG or is suspicious for malignant potential, CT is advised as the second radiological modality pertaining to its high sensitivity for evaluating malignant lesion and associated features of metastasis and local disease extent.