Combined Application of Ultrasound and CT Increased Diagnostic Value in Female Patients with Pelvic Masses

Lu, Yan; Zhang, Hui; Li, Xiaoqian; Qi, Guiqin

doi:10.1155/2016/6146901

Cited by 7 publications

(8 citation statements)

References 21 publications

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“…Our findings correlate with Liu Y et al 3 and Firoozabadi et al 4 study which showed youngest 18 years and most elderly 77 yr. Majority of patients included were above 40 years in Liu Y et al 3 study.…”

Section: Discussionsupporting

confidence: 92%

Role of Usg and Ct Scan in Evaluation of Female Pelvic Pathology

Chauhan¹,

Patel²,

Vadhiya³

et al. 2019

jebmh

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BACKGROUND Ultrasound is the imaging modality of choice for the female pelvis. It can determine the organ or site of abnormality and provide a diagnosis or short differential diagnosis. Doppler sonography helps to assess normal and pathologic blood flow. Present study was done at our tertiary care center to study the role of USG and computed tomography (CT) scan in evaluation of female pelvic pathology and to assess the merits and demerits of USG and computed tomography (CT) scan over each other in characterizing pelvic pathology. METHODS 100 patients were selected for study. All patients with female pelvic pathology were included in my study. Computed tomography (CT) and USG characteristics of different lesions were noted and recorded. RESULTS Most common age of presentation of endometrial pathology was between 50 to 70 years, cervical pathology between 40 to 49 years and ovarian pathology between 50 to 59 years. Out of 100 patients, 45 patients were having cervical cancer. 30 patients were having ovarian cancer and 18 patients were having endometrial cancer. 2 cases of fibroid, 2 cases of GTN and 3 cases of simple cyst were also noted. CONCLUSIONS Ultrasonography is usually the first imaging modality in evaluation of female patients suspected to have pelvic pathology. Computed tomography is the superior diagnostic imaging modality compared to USG prior to treatment. It improved detection and characterization of tumour which contribute to better diagnostic accuracy.

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Section: Discussionsupporting

confidence: 92%

Role of Usg and Ct Scan in Evaluation of Female Pelvic Pathology

Chauhan¹,

Patel²,

Vadhiya³

et al. 2019

jebmh

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“…CT/MRI not only detected the tumor missed by TAS but also detected the missed cystic components of the solid cystic tumors. In a study done by Yan Liu et al ., the sensitivity, specificity and accuracy of combined application of ultrasound and CT were 89, 94.7 and 91.7% (16), which were higher than those of either ultrasound or CT in the diagnosis of pelvic mass. In the evaluation of adnexal masses indeterminate on ultrasound, assessment with contrast-enhanced MRI increases sensitivity to 81% and specificity to 98%.…”

Section: Discussionmentioning

confidence: 82%

Virilising ovarian tumors: a single-center experience

Sehemby

Bansal

Sarathi

et al. 2018

Endocrine Connections

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Literature on virilising ovarian tumors (VOTs) is limited to case reports and series reporting single pathological type. We have analyzed the clinical, hormonal, radiological, histological, management and outcome data of VOT. This retrospective study was conducted at a tertiary health care center from Western India. Consecutive patients with VOT presenting to our endocrine center between 2002 and 2017 were included. Our study included 13 patients of VOT. Out of 13 patients, two were postmenopausal. All patients in the reproductive age group had secondary amenorrhea except one who presented with primary amenorrhea. Modified F and G score (mFG) at presentation was 24 ± 4.3 and all patients had severe hirsutism (mFG ≥15). Change in voice (n = 11) and clitoromegaly (n = 7) were the other most common virilising symptoms. Duration of symptoms varied from 4 to 48 months. Median serum total testosterone level at presentation was 5.6 ng/mL with severe hyperandrogenemia (serum testosterone ≥2 ng/mL) but unsuppressed gonadotropins in all patients. Transabdominal ultrasonography (TAS) detected VOT in all except one. Ten patients underwent unilateral salpingo-oophorectomy whereas three patients (peri- or postmenopausal) underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. Seven patients had Sertoli Leydig cell tumor, three had steroid cell tumor and two had Leydig cell tumor and one had miscellaneous sex cord stromal tumor. All patients had normalization of serum testosterone after tumor excision. In conclusion, VOTs present with severe hyperandrogenism and hyperandrogenemia. Sertoli Leydig cell tumor is the most common histological subtype. Surgery is the treatment of choice with good surgical outcome.

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“…Ultrasound is superior as the first diagnostic tool due to its relatively easy availability, high sensitivity, lack of radiation exposure, and low cost. In a study of 240 patients with pelvic masses, ultrasound, CT, and combined ultrasound/CT application were evaluated, and accuracy of them were 68.8%, 85.0%, and 91.7%, respectively [ 12 ]. Therefore, when a pelvic mass is suspected on initial testing with ultrasound, a combination of ultrasound with CT might prove to be a useful diagnostic tool.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Neglected Gossypiboma Causing Abdominal Pain for 20 Years Post-Cesarean Section

et al. 2022

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Gossypiboma refers to a mass usually made of cotton (e.g., surgical gauze or sponge) that is accidentally left in a patient’s body during surgery. We report the case of a 54-year-old multigravida menopausal woman who previously underwent cesarean section to deliver her second child. She was referred to our medical center after a 7 cm right ovarian mass with malignant potential was discovered. A diagnostic laparotomy was performed then confirmed the presence of a 10 cm gossypiboma attached to a metallic ring. This case is an alarming example highlighting the importance of adequate intraoperative counting of gauze and radiologic evaluation of chronic pelvic pain.

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Combined Application of Ultrasound and CT Increased Diagnostic Value in Female Patients with Pelvic Masses

Cited by 7 publications

References 21 publications

Role of Usg and Ct Scan in Evaluation of Female Pelvic Pathology

Role of Usg and Ct Scan in Evaluation of Female Pelvic Pathology

Virilising ovarian tumors: a single-center experience

A Case Report of Neglected Gossypiboma Causing Abdominal Pain for 20 Years Post-Cesarean Section

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