Evaluation of Adnexal Masses - Correlation of Clinical, Sonological and Histopathological Findings in Adnexal Masses

mass is complex and includes functional cysts, benign and malignant ovarian tumors, paraovarian cysts, tuboovarian abscesses, hydrosalpinx, ectopic pregnancies, tubal malignancy, broad ligament fibroid, fimbrial cysts, sigmoid colon or colon distended with gasses or feces, pelvic kidney, and pregnancy in bicornuate uterus. These masses pose both a diagnostic and management dilemma. Ultrasonography is the primary modality used for detection and characterization of the mass. Many screening tests are being actively investigated at present, but there is no sufficient evidence to support the routine use of pelvic ultrasound and Ca-125 to screen for ovarian cancer in the general population. Histopathology is still taken as gold standard for the evaluation of benign and malignant adnexal masses.