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Pelvic examination, transvaginal ultrasound and transvaginal color Doppler sonography as predictors of ovarian cancer
Author(s) -
Buckshee K.,
Temsu I.,
Bhatla N.,
Deka D.
Publication year - 1998
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(98)00018-6
Subject(s) - medicine , radiology , malignancy , adnexal mass , pelvic examination , ultrasound , ovarian cancer , color doppler , laparotomy , transvaginal sonography , physical examination , cancer , ultrasonography , pathology , pregnancy , genetics , biology
Objective: To assess and compare the efficacy of pelvic examination, transvaginal ultrasound and transvaginal color Doppler imaging in differentiating benign and malignant ovarian tumors. Methods: 34 patients with ovarian tumors scheduled for laparotomy underwent pelvic examination and a diagnosis of benign or malignant tumor was made. Transvaginal ultrasound was carried out to study the ovarian morphology followed by color Doppler imaging. A score of ≥9 on Sassone scoring system or a pulsatility index <1 was taken as suspicious for malignancy. Results: Of all the three indicators (pelvic examination, transvaginal sonography and Doppler) transvaginal sonography had the highest sensitivity (100%) and Doppler had maximum specificity (96.29%) for predicting malignancy. However, statistical analysis did not show any difference in the predicting ability of these three modalities. Conclusion: Pelvic examination, transvaginal sonography and Doppler all had similar ability to predict malignancy in an adnexal mass.