Overview of pelvic masses following hysterectomy for benign diseases

Objective:  To study the clinical and histopathological presentation and management of pelvic masses following hysterectomy for benign diseases.
Method: Retrospective analysis of 60 cases from January 2012 to December-2014.
Results: The age of patients ranged from 30-75yrs in a total of 60 cases, 53.3% are neoplastic. Amongthe neoplasms 75% are benign, 21.8% are malignant . Among non-neoplastic masses, the commonest are paraovarian cyst -42.8% followed by hydrosalpinx. Serous cystadenoma was the commonest benign tumor (38%) followed by mucinous (35.4%). Most common malignant ovarian tumor was serous cystadenocarcinoma (71.4%).
According to Sonographic appearance 35% patients had simple unilocular cyst, 53.3% had complex cyst and 11.7% presented with solid mass. 10% patients were treated by laparoscopic method and 90% patients were treated by laparotomy.
Conclusion: Emergence of pelvic masses after hysterectomy needs proper, meticulous clinical and diagnostic evaluation and appropriate management. Neoplastic pelvic masses have similar incidence as non neoplasms. A rise in incidenceof mucinous cystadenoma was observed. Mean age of malignant tumors has decreased.