Abstract

Background & Method: Study was conducted at Mediciti Institute of Medical Sciences, Medchal, Telangana number of cases studied 30. All clinically suspected female patients with pelvic masses referred to the Department of Radio-diagnosis were evaluated. These patients were first subjected to Ultrasonography followed by MRI (plain and contrast where ever required). MRI findings were compared with that of Ultrasonography. These findings were compared with that of operative findings and histopathological findings wherever performed.
 Result: Majority of uterocervical lesions on MRI were malignant in nature. One case of endometrial polyp in usg, diagnosed as stage Ib endometrial carcinoma, and cervical fibroid was diagnosed as cervical carcinoma stage II, on MRI 2cases of cervical and 2 cases of endometrial carcinoma.
 Conclusion: In practice USG is the primary modality for diagnosing the pelvic mass. MRI is superior to ultrasound and can be used as problem solving tool in the assessment of pelvic mass. The multiplanar imaging capability allows accurate identification of origin of mass, characterization of mass(solid, haemorrhagic, fatty and fibrous contents).This may obviate surgery or significantly contribute to the preoperative planning of pelvic mass
 Keywords: Magnetic Resonance Imaging, pelvic & female.
 Study Designed: Observational Study

Highlights

  • The pelvis includes sigmoid colon, the rectum, the urinary bladder & the urethre and female genital organs

  • All clinically suspected female patients with pelvic masses referred to the Department of Radio-diagnosis were evaluated

  • These patients were first subjected to Ultrasonography followed by MRI

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Summary

Introduction

The pelvis includes sigmoid colon, the rectum, the urinary bladder & the urethre and female genital organs. In female pelvis the differential diagnosis of pelvic mass is quite variable because abnormality may arise from gynaecological or non gynaecological origin. While non gynaecological pelvic masses are those arising from bladder, ureter, rectum, colon, blood vessels and nerves in the pelvis(1). Ultrasound is primary imaging modality for diagnosing the pelvic mass lesions. It is non invasive, inexpensive, available and free of ionizing radiation, Ultrasound confirms the presence of masses, differentiating ovarian masses from tubal or uterine origin, delineating the internal appearance of masses and defining other abnormal findings. Magnetic resonance imaging is much better in delineating and diagnosing the pelvic lesions where usg is equivocal. The T1 weighted images and fat saturated sequences are used to demonstrate the fat content of lesions. The result is improved characterization of masses which leads to specific diagnosis(4)

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