Role of ultrasound in evaluation of ovarian lesions and its correlation with histopathological findings

Introduction: Ovarian lesions are the most common pathology in gynaecology. They present with pelvic pain, menstrual abnormalities. Sonography is non-invasive, radiation-free, cost effective and widely available. The characterization of ovarian masses and distinguishing between benign and malignant pathology is of utmost importance to enable decisions regarding optimal treatment. Material And Methods: A prospective study was done in a sample of 100 patients suspected of having ovarian lesions on the basis of history and clinical examination. All the patients were subjected to transabdominal sonography with full bladder technique using 3.5 - 5.5 MHz curvilinear transducer and 10 MHz linear transducer. TVS was performed whenever required to obtain additional findings. Histopathological findings were correlated with the findings on sonography. Results: A total of 100 patients with clinically suspected ovarian pathology were examined by ultrasound and histopathological comparison was done.Out of 70 patients with benign lesions, 66 patients were correctly diagnosed on ultrasonography (94%). Out of total 30 patients with malignant tumours, 26 (87%) patients were correctly diagnosed on ultrasonography. Conclusion: The present study evaluates ovarian mass by USG considering histopathological examination of post operative specimen as gold standard.