الفهرس | Only 14 pages are availabe for public view |
Abstract Ovarian tumors; are the second most common gynecological tumor and is the fifth commonest tumor in women. Although the final diagnosis of an ovarian tumor is based on the histological examination, it is desirable to preoperatively differentiate benign, BOTs and invasive ovarian cancers in order to decide whether surgery is required, and which type of surgery is appropriate. Thus, it can help avoiding unnecessary surgery especially in postmenopausal women and help deciding for conservative surgery for young ones wishing to preserve childbearing potential. TVUS is the first imaging modality that can be used for detection of adnexal mass lesion. However, lesion characterization is done with the help of MRI. This study included 20 patients with clinically suspected ovarian neoplasms referred to Radio-diagnosis departement at Tanta university hospital and Kafr Elsheikh general hospital in the period from November 2014 to December 2015. 13 lesions were benign, 1 borderline and 6 were malignant. Conventional MRI provides soft tissue characterization based on different signal intensities and contrast uptake in post contrast images, it had 100% sensitivity, 78.6% specifity, 62.5%PPV, 91.7%NPV and 80% accuracy. Being a cost effective choice, and in addition to MRI ability for accurate diagnosis, it can replace computed tomography (CT) in preoperative. |