CLINICAL PRESENTATION OF PELVIC MASS IN WOMENS OF DERA GHAZI KHAN AND ADJOINING AREAS (PAKISTAN)

OBJECTIVE: Analysis of pelvic mass patients in terms of parity, age, clinical presentation, operative procedure and pathology was as per the mass type in the tertiary hospitals of Punjab was the aim of this research. DESIGN: Research design was descriptive case series. PLACE AND DURATION: Research was carried out at DHQ Teaching Hospital Dera Ghazi Khan (Gynecology and Obstetrics Department) in the time period of January – December, 2017. PATIENTS AND METHODS: We included all the case of pelvic mass without any discrimination of parity and age, the disease was diagnosed through clinical assessment, history diagnosis and also through USG. Confirmation of pelvic mass type was made through histopathology and surgery. RESULTS: We included in our research 110 cases diagnosed with pelvic mass; among these cases 61 were (55.45%) in the age group of 30 – 50 years and one case were observed as under twenty and two were above seventy years of age. Maximum of the women were in the category of parous. Through clinical presentations we observed that 42 cases faced lower pain of the abdomen (38.18%) and 38 menstrual disturbances cases were also reported (34.54%). First clinical assessment was observed in 84 cases (76.36%) further confirmation was made through USG. In all the patients we included 104 cases (94.54%) with the help of USG. Gentile tract tumor was observed in 68 cases (61.82%); whereas, four cases were diagnosed with non-gynecological mass. Size of mass was observed (above 20 cm) in 10 cases (9.1%); however, less common observations were made about the malignant lesions below ten centimeters in size. CONCLUSION: Every case of pelvic mass without any discrimination of parity and age was treated and investigated in detail. Diagnosis of the non-gynecological masses was also made; therefore, competent surgeons were assigned the task to treat the cases of pelvic masses.