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9 - The Diagnostic Value Of The Transvaginal Ultrasonography, CA-125 And Malignancy Risk Index At The Differential Diagnosis Of The Adnexal Masses
Ahmet Varolan, Atıf Akyol, Tevflk Yoldemir, Asuman Sevük, İnci Davas
Objective: Ovarian cancer is the most important cancer in deaths related to the gynecological cancers. The patients applying with the diagnosis of pelvic mass should be evaluated for differentiation of malignancy; so the choose of referance hospital and even insicion type of operation could be determined easily.
Study Design: In our study 83 patient applying Sisti Etfal Education and Training Hospital, 2nc Gynecology and Obstetrics Clinic with the diagnosis of adnexal mass were examined prospectively between November 1996 and November 1999. The differential diagnosis of the adnexal masses were made on the basis of transvainal ultrasonography, CA-125 and MRI.
Results: All of the malignant masses had high CA-125 levels, with ultrasonographic score greater than 9 and with the malignancy risk index above 200.
Conclusion: At the time of desicionfor the treatment serum CA-125 levels, ultrasonography and the malignancy risk index will be helpfull. Nevertheless the false positive predictivity of CA-125 and ultrasonography must be remembered but MRl has higher confidence.
Keywords: Adrenal mass, ultrasonography, CA-125, Malignancy risk index.
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