Imaging in ovarian Cancer

Hebbar, Shripad; Moideen, Nilufer

doi:10.5455/2320-1770.ijrcog20150201

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…In approximately 70% cases, ovarian malignancy does not become clinically overt until it has metastasized therefore effective detection approaches are the need of the hour. [16][17] Our results show that USG-guided trucut biopsy of adnexal masses is high yielding with definitive diagnosis in 59 (95.1%) out of 62 cases and only 3 (0.04%) cases were inconclusive. These results are fairly comparable to the findings of the studies done in the past confirming high reliability and safety of this minimally invasive procedure.…”

Section: Discussionmentioning

confidence: 89%

Outcome of Ultrasound Guided Trucut Biopsy of Adnexal Masses with Suspected Malignancy

Shah¹,

Shahid²,

Hussain³

et al. 2022

J Islamabad Med Dental Coll

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Background: Ultrasound guided sampling techniques are frequently used in the tissue diagnosis of various tumours. Female patients commonly present with adnexal masses and require tissue diagnosis by trucut biopsy for initiation of the treatment. This study was done to determine the outcome of ultrasound guided trucut biopsy in patients presenting with suspected adnexal malignancy. Methodology: This cross sectional study was done at the Department of Radiology, MCH Centre, PIMS hospital, Islamabad from October 2018 to September 2020. In this study, all female patients aged 18 years and above with suspected adnexal malignancy were included. Trucut biopsy was performed under ultrasound guidance, sample sent for histopathology and various histopathological outcomes were assessed. Patients were kept under observation for 2 hours following biopsy. The data was entered and assessed by using SPSS version 24.0. Frequencies and percentages were calculated for nominal data and mean and standard deviation for numerical data. Results: Mean age of the subjects was 50.24±10.52 years and mean duration of symptoms was 2.97±1.23 months. Definitive diagnosis made in 59 (95.1%) out of 62 cases and only 3 (0.04%) cases were inconclusive; among which two showed inadequate sample and one showed normal tubo-ovarian tissue. 90% histopathological findings were conclusive and no complication was reported. Conclusion: Trucut biopsy has high diagnostic yield with no complications and most common malignancy detected was serous cystadenocarcinoma followed by mucinous carcinoma. Key words: Biopsy, Malignancy, Ultrasound

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Section: Discussionmentioning

confidence: 89%

Outcome of Ultrasound Guided Trucut Biopsy of Adnexal Masses with Suspected Malignancy

Shah¹,

Shahid²,

Hussain³

et al. 2022

J Islamabad Med Dental Coll

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“…CT scans can assess operable and non-operable ovarian tumors and provide cross-sectional images of internal organs, especially areas that are difficult to reach during laparotomy operations, providing detailed information on the extent of lesions and the presence of metastases [7,8]. In this case, the accuracy of CT scans is reported to be 93-96% [9]. The accuracy of CT scans in assessing the characteristics of ovarian carcinoma when compared with ultrasound is 94% vs 80% [7].…”

Section: Introductionmentioning

confidence: 99%

CHARACTERISTIC OF CT SCAN IN MUCINOUS OVARIAN TUMOR Retrospective Study in Dr. Soetomo General Academic Hospital Surabaya January 2020 – July 2023

Puri Handayani,

Wulanhandarini,

Mardiyana

et al. 2024

IJRP

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Background: Mucinous ovarian tumors present various diagnostic challenges, with a broad histopathological spectrum from benign, borderline to malignant. Underdiagnosis of Mucinous Ovarian Carcinoma causes under-treatment, thereby reducing survival. Overdiagnosis of Mucinous Borderline Ovarian Tumor results in unnecessary additional treatment, resulting in significant side effects. CT scan is a diagnostic imaging modality with high accuracy in assessing ovarian tumors. Knowing the preoperative CT scan image well is very important for diagnosis and patient management. Objective: The purpose of this study is to identify the characteristics of preoperative CT scan features in mucinous ovarian tumors that correlate with histopathology results. Methods and Materials: Descriptive study of 53 samples of mucinous type ovarian tumors consisting of 12 samples of Mucinous Ovarian Cystadenoma (MCA), 17 samples of Mucinous Borderline Ovarian Tumor (MBOT), and 24 samples of Mucinous Ovarian Carcinoma (MOC) which were histopathologically proven by surgery. Abdominal CT scan data without and with contrast were evaluated retrospectively. Results:The dominant CT scan characteristics of MCA are multilocular cyst (91.7%) with a thin tumor wall (83.3%) and thin septa (83.3%), no solid component (91.6%), and no enhancement (66.6%), with diameter of 22.839.92 cm and cystic component density of 12.334.21 HU. The dominant CT scan characteristics of MBOT are multilocular solid cyst (64.7%) with thick walls (82.4%), thick septa (82.4%), and solid components (70.6%), which provide enhancement (52.9%) with mild (55.6%) and moderate (44.4%) enhancement pattern, with diameter of 28.036.31 cm and a cystic component density of 17.477.58 HU. The dominant CT scan characteristics of MOC are multilocular solid cyst (100%) with thick walls (100%), thick septa (100%), and solid components (100%) that provide enhancement (100%) with moderate (66.7%) and strong (33.3%) enhancement pattern, with diameter of 24.505.77 cm and cystic component density of 20.836.71 HU. Site/laterality, tumor diameter, and intramural calcification do not exhibit characteristic features in MCA, MBOT, and MOC. Conclusion: CT scan features that can be used to assist in categorizing the preoperative diagnosis of mucinous ovarian tumors as benign, borderline, or malignant type include: morphology, tumor wall, septa, cystic lesion density, solid component, and enhancement pattern.

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“…Among the various existing imaging modalities, ultrasonography (US) is the initial choice for investigating [7][8][9][10] . It is an easily available, non-invasive, and cost-effective technique that poses no discomfort or risk to the patient.…”

Section: Introductionmentioning

confidence: 99%

Positive Predictive Value of Ultrasonography for Detection of Ovarian Masses Taking Magnetic Resonance Imaging as a Gold Standard

Jabeen¹,

Sattar²,

Bakhsh³

et al. 2023

PJMHS

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Aim: To determine the efficacy of ultrasonography in the detection of ovarian masses considering MRI a Gold standard. Study design: Prospective analytical cross-sectional study Place and duration of study: Dow Institute of Radiology, Dow University of Health Sciences Karachi, Pakistan from 1st June 2018 to 30th November 2019. Methodology: One hundred and forty eight ovarian cancer patients were enrolled. Results: The mean age of the patient was 41.87±16.30 years. The majority of the patients were age ≥20 years (29.10%) and obese (33.1%). Malignant tumors were 56.1% (n=83) and 64.2% (n=95) respectively on ultrasound and magnetic resonance imaging. Ultrasound had a positive predictive value of 80%, sensitivity of 98.11%, and specificity of 86.32 % for the diagnosis of ovarian masses. Overall diagnostic accuracy of ultrasonography was 90.54%. There was an excellent agreement between the ultrasonography and magnetic resonance imaging (kappa=0.84, p-value <0.001) and area under the curve was 92.2%. Conclusion: Ultrasonography has excellent diagnostic accuracy in the detection of ovarian masses. Keywords: Ovarian mass/tumor, Ultrasonography, MRI, Positive predictive value, Benign, Malignant

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Imaging in ovarian Cancer

Abstract: Image characterisation by CT/MRI is classically based on internal morphology, tissue characterisation, vascularity and topographic features. MRI is recommended for the

Cited by 4 publications

References 15 publications

Outcome of Ultrasound Guided Trucut Biopsy of Adnexal Masses with Suspected Malignancy

Outcome of Ultrasound Guided Trucut Biopsy of Adnexal Masses with Suspected Malignancy

CHARACTERISTIC OF CT SCAN IN MUCINOUS OVARIAN TUMOR Retrospective Study in Dr. Soetomo General Academic Hospital Surabaya January 2020 – July 2023

Positive Predictive Value of Ultrasonography for Detection of Ovarian Masses Taking Magnetic Resonance Imaging as a Gold Standard

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