Comparison of Morphological Score Values to Discriminate Benign and Malignant Ovarian Masses

Shyamala Jothy, M (2013) Comparison of Morphological Score Values to Discriminate Benign and Malignant Ovarian Masses. Masters thesis, Thanjavur Medical College, Thanjavur.


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AIM OF THE STUDY: To determine optimal cut off point for a morphological scoring system and colour flow directed Doppler values to differentiate benign and malignant ovarian masses. STUDY DESIGN: This study done at RMH Thanjavur for a Period of June 2011 to October 2012. It is a prospective study. It Included 73 patients and 3 were excluded as they are unfit for surgery. MATERIALS AND METHODS: Patient admitted with diagnosis of ovarian masses and clearly ovarian by sonography and surgery were only included in this study. Ovarian masses in pregnant women and those beyond 10th day of menstrual cycle are excluded A note was made on their main symptoms at admission, Parity, menopausal status, family history of carcinoma. All women were subjected to TVS and TAS and scoring done using morphology and Doppler indices. Resistive index and pulsatility index found out and compared with Histopathological reports of the patients. OBSERVATION: Out of 70 cases 62 benign and 8 malignant cases detected. Mean of Morphological score for Benign was 2.4 and for Malignant was 4.87. Mean RI and PI for Benign was 0.67 and 1.2 and for malignant was 0.42 and 0.67 . Sensitivity was increased by combining morphological score and Doppler indices. CONCLUSION: The combination of ultrasound and Doppler values is better in differentiating benign and malignant ovarian masses. Cut off for morphological score was 4 and for Doppler velocimetry it was a RI of 0.55 and PI of 0.8.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Comparison, Morphological Score Values, Discriminate Benign, Malignant Ovarian Masses.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 27 Mar 2020 02:30
Last Modified: 27 Mar 2020 02:30

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