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  • Title: Pelvic examination, transvaginal ultrasound and transvaginal color Doppler sonography as predictors of ovarian cancer.
    Author: Buckshee K, Temsu I, Bhatla N, Deka D.
    Journal: Int J Gynaecol Obstet; 1998 Apr; 61(1):51-7. PubMed ID: 9622173.
    Abstract:
    OBJECTIVE: To assess and compare the efficacy of pelvic examination, transvaginal ultrasound and transvaginal color Doppler imaging in differentiating benign and malignant ovarian tumors. METHODS: 34 patients with ovarian tumors scheduled for laparotomy underwent pelvic examination and a diagnosis of benign or malignant tumor was made. Transvaginal ultrasound was carried out to study the ovarian morphology followed by color Doppler imaging. A score of > or = 9 on Sassone scoring system or a pulsatility index < 1 was taken as suspicious for malignancy. RESULTS: Of all the three indicators (pelvic examination, transvaginal sonography and Doppler) transvaginal sonography had the highest sensitivity (100%) and Doppler had maximum specificity (96.29%) for predicting malignancy. However, statistical analysis did not show any difference in the predicting ability of these three modalities. CONCLUSION: Pelvic examination, transvaginal sonography and Doppler all had similar ability to predict malignancy in an adnexal mass.
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