Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study

Background and aim: To evaluate the clinical, pathological and surgical characteristics of adnexal masses in hysterectomized women with one or both ovaries conserved.
Material and methods: A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology over twenty months, including 80 hysterectomized women with one or both adnexa preserved and later presented with subsequent adnexal masses. The previous surgical histories of these patients, present clinical and pathological characteristics of ovarian cysts, and possible management options were evaluated.
Results: Among the study's 224 hysterectomized women presented to the Gynaecology Outpatient Department (OPD), 80 women with adnexal masses were included. Among the 80 hysterectomies, most were abdominal hysterectomies. Moreover, most patients underwent hysterectomy between 40 and 50 years of age. Symptomatic Fibroid uterus was the most common indication for hysterectomy. Among the 80 women in, 68.8% women, both ovaries were preserved. The most common presenting symptom was pain abdomen. Adnexal masses are evaluated by clinical examination, Radiological imaging modalities, and tumour markers depending on the need. Among the 80 women, 43.8% needed surgical intervention, 48.8% managed with conservative treatment, and 7.5% were referred to Oncology. Benign ovarian epithelial tumours were the most common type among surgically treated.
Conclusions: The management of adnexal masses in hysterectomized women should be individualized, depending on the presenting symptoms, the size of the adnexal mass, radiological findings, tumour markers, and expected future complications.