ROLE OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATION OF GYNECOLOGICAL PATHOLOGIES

Prajwaleet Gaur; Subinay Saha; Kanchan Dhanokar; Harsha Sahu

Volume : VIII, Issue : V, May - 2019

ROLE OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATION OF GYNECOLOGICAL PATHOLOGIES

Prajwaleet Gaur, Subinay Saha, Kanchan Dhanokar, Harsha Sahu

Abstract :

Gynecological cancers are among the most common cancers in women and hence an important public health issue. Due to the lack of cancer awareness, variable pathology, and dearth of proper screening facilities in developing countries such as India, most women report at advanced stages, adversely affecting the prognosis and clinical outcomes. In our study on 60 patients, 24 patients (40%)were diagnosed to have benign lesions & 36(60%) malignant pathologies. Ca cervix was the most commonly encountered malignant pathology & benign ovarian lesions were most common benign pathology. USG remains the examination of choice for initial assessment of patients with suspected gynecological disease. The transabdominal scans allow assessment of ascites, adenopathy, large tumor implants, hydronephrosis, and liver metastases, whilst transvaginal ultrasound allows detailed morphological evaluation of the pelvic structures. MRI can offer supplemental diagnostic information in cases of suboptimal or equivocal ultrasound examination. MRI is superior in the detection of the organ of origin, loco-regional extent of pelvic cancer. MRI is considered the next step in the imaging assessment of disease of the uterus and adnexa and is becoming the primary imaging modality for evaluating & staging gynecological malignancies