Publication:

Clinicopathologic study of large abdominal masses in gynaecological practice and their outcome

Background In female reproductive tract the differential diagnosis of pelvic mass is quite variable because abnormality may arise from gynaecological or non-gynaecological origin. The aim of the present study is to find out the causes why these patients come with large abdominal masses, to find out the risk factors and to do proper management.

Methods This study is a retrospective study of all cases of large abdominal mass All the patient coming with palpable abdominal and pelvic adnexal mass in the gynaecologic OPD were included in the study. Study population included women of all ages and the relevant population of women with treatment for fibroids and ovarian mass. The data was analysed retrospectively and the results were computed accordingly.

Results Incidence of large ovarian mass was found out to be 2.82% and of large fibroid was 2.31%. Our study showed the peak incidence of ovarian tumors in age group more than 40 years. 90.5% of patients were illiterate and only 10 patients were literate. In the study only 8.57% patients had addiction to some drug and all were tobacco chewer. The incidence of benign tumor was 83.33% (commonest being ovarian tumours) and that of malignant tumors is 16.66%.

Conclusions Ultrasound is effective in detecting the abdominal mass, size and type of abdominal mass, so that early diagnosis can be done and treatment can be given as soon as possible. Apart from already established risk factors, obesity and uterine fibroid have an important association.