Abstract
Adnexal masses predominantly include solid or cystic masses, however para-tubal cysts, hydrosalpinx and other non-ovarian masses are also included in the broader denition of adnexal masses. Common benign lesions are endometriomas, ectopic pregnancy, broids, and malignant lesions include ovarian malignancies and metastasis. Ultrasound is the mainstay when it comes to diagnosing adnexal masses. Trans-abdominal as well as Transvaginal scans are performed. Color doppler is also being recently employed in better characterisation of adnexal masses. Morphological analysis of adnexal masses is done to classify them as either low or high risk. Spectral Doppler waveform characteristics – Resistivity Index, Pulsatility Index and Peak Systolic Velocity correlate well with malignancy and are based on the fact that tumor vessels are morphologically abnormal.
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