Original Research Article
Year: 2020 | Month: December | Volume: 7 | Issue: 12 | Pages: 194-199
A Prospective Study of Adnexal Masses with Its Evaluation by Risk of Malignancy Index among Patients Attending Tertiary Care Hospital
Shireen Prince
Department of Pharmacy Practice, Malla Reddy Pharmacy College, Dhullapally, Secunderabad -500100 Telangana, India.
ABSTRACT
Objective: The aim of this study was to evaluate clinical profile of patients with adnexal masses in tertiary care hospital.
Method: A hospital based observational, prospective study was conducted on patients with adnexal masses for 6 months in gynaecology department. Based on diagnosis, 102 patients were enrolled into the study and interviewed to record their age, symptoms, risk factors, diagnosis with laboratory parameters and treatment. Risk of malignancy index (RMI) was calculated and SAS was used for analysis.
Results and Discussion: Most of the patients (30%) admitted were in the age group of 41-50 years. Abdominal pain was the most common symptom. The most common risk factor was hypothyroidism (67.5%) among patient profiles recorded. Uterine fibroid and ovarian cyst were the most common adnexal masses. On histopathological examination, the most common finding was benign leiomyoma (34.31%). Hysterectomy and salpingectomy were the most frequent type of surgery performed in our study. 7 out of 102 patients reported complications like ovarian torsion (57.14%), infertility (28.57%) and rupture (14.28%). Based on RMI scoring patients were distributed into 3 groups out of which 5 cases reported RMI above 200 and had positive correlation with the histopathological reports.
Conclusion: An organized approach of thorough history with evaluation of symptoms, risk factors, detailed clinical examination and correct interpretation of diagnostic modalities, RMI scoring to alert risk of malignancy is required for analysis and management of adnexal masses.
Keywords: Adnexal mass, Malignancy, Postmenopausal, RMI.
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