Open AccessOvarian Malignancy Prediction by Gatot Purwoto (GP) Score, Risk Malignancy Index (RMI), and Frozen Section in Young Age
Author(s) -
Liva Wijaya
Publication year - 2016
Publication title -
indonesian journal of obstetrics and gynecology
Language(s) - English
Resource type - Journals
eISSN - 2338-7335
pISSN - 2338-6401
DOI - 10.32771/inajog.v2i3.399
Subject(s) - medicine , malignancy , predictive value , frozen section procedure , receiver operating characteristic , predictive value of tests , diagnostic accuracy , gynecology , surgery
Objective: To know the diagnostic value of a scoring system taken
before surgery and frozen section in young-aged patients with suspected malignancy. Using that result, we can also investigate
whether frozen section gives additional value to clinical scoring system.
Method: This study is a diagnostic test. This study was carried out
by accessing RSCM’s medical record from 2006-2011. From 437 patients suspected of ovarian malignancy, we included 157 patients
due to age.
Result: Diagnostic value of GP score are 77%, 49%, 61%, 68%, 63%, while RMI are 69%, 49%, 58%, 45%, 59%, (sensitivity, specificity, positive predictive value, negative predictive value, and accuracy respectively).
Diagnostic value of frozen section in patients with suspected
malignancy using GP score >4 are 81.7%, 87.2%, 90.7%,
75.6%, 83%, while in patients with RMI 200 are 81%, 87%, 89%,
77%, 83% (sensitivity, spesificity, positive predictive value, negative
predictive value, and accuracy respectively).
Conclusion: Gatot Purwoto score and RMI have good diagnostic
value in proving malignancy in young age. Its predictive value will
be increased by frozen section.
[Indones J Obstet Gynecol 2014; 3: 157-161]
Keywords: frozen section, gatot purwoto score, ovarian malignancy,
RMI, young age