Study of Comparison of conventional ultrasound, RMI 4 score and CT imaging in diagnosis of Ovarian Cancer confirmed by surgical-pathological findings

Authors

  • Sebina Baniya Gynecology Oncology Unit, Department of surgical oncology, B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Binuma Shrestha Gynecology Oncology Unit, Department of surgical oncology, B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Bijay Chandra Acharya Gynecology Oncology Unit, Department of surgical oncology, B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Sarita Gurung Gynecology Oncology Unit, Department of surgical oncology, B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Hem Nath Subedi Gynecology Oncology Unit, Department of surgical oncology, B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Manju Pandey Gynecology Oncology Unit, Department of surgical oncology, B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Shristi Tiwari Gynecology Oncology Unit, Department of surgical oncology, B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Pramila Thapa Lumbini Medical College and Teaching Hospital, Pravas, Palpa

DOI:

https://doi.org/10.3126/njc.v7i1.60157

Keywords:

Ovarian cancer, Surgical staging, Ultrasound, RMI 4

Abstract

Background: Ovarian cancer; 5th commonest cancer among Nepalese women is the leading cause of gynecologic cancer related death. Proper diagnostic studies therefore assist Gyne-oncologist for appropriate surgery and chemotherapeutic planning, there by optimizing the patient prognosis. Objective of current study was to compare ultrasonography imaging, CT imaging, CA 125 value, RMI 4 score and surgical staging in diagnosis of ovarian cancer correlated with histo-pathological findings.

Materials and Methods: The study was retrospective observational study, carried out between 14th April 2019 to 16th October 2021, in the department of surgical oncology (Gynecology oncology unit), B.P Koirala Memorial Cancer Hospital, Bharatpur.

Results: 53 patient data were included in the observation. The efficacy of Ultrasound (sensitivity-90.90%, Specificity-60%) and CT (sensitivity-100%, specificity-65%) gave the best result in non-invasive investigations; whereas surgical staging (sensitivity- 96.96%, specificity- 90%) gave the better result when invasive modalities were considered. RMI 4 score had sensitivity 96.96% and specificity 60%.

Conclusion: All modalities had good diagnostic performances and complemented each other in further defining the characterization of the ovarian mass, local spread and distant tumor dissemination.

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Published

2023-09-27

How to Cite

Baniya, S., Shrestha, B., Acharya, B. C., Gurung, S., Subedi, H. N., Pandey, M., Tiwari, S., & Thapa, P. (2023). Study of Comparison of conventional ultrasound, RMI 4 score and CT imaging in diagnosis of Ovarian Cancer confirmed by surgical-pathological findings. Nepalese Journal of Cancer, 7(1), 24–32. https://doi.org/10.3126/njc.v7i1.60157

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Original Articles