Preoperative risk assessment tests for suspicious ovarian mass

Abstract

Author(s): Russul Daad Abd Oun*, Hameed Jameel Hamzah, Akhlas Hashem Salman, Tahsin Hadi Husain, Nawfal Azzo, Atheer Adnan Fadhil and Ahmed Alshewered

Adnexal masses commonly are encountered and often present diagnostic and management dilemmas. The study aimed to compare the sensitivity, specificity, predictive value, and accuracy of the Risk Malignancy Index (RMI), simple rules, and Assessment of Different NEoplasias in the adneXa (ADNEX) model, in the diagnosis of an ovarian mass. A prospective observational cohort study was carried out in the Department of Obstetrics and Gynaecology / Baghdad Teaching Hospital. It was conducted over eighteen months starting from the first of January 2016 to the end of June 2017. A total number of 100 patients with the adnexal mass of different age groups were enrolled in this study. Those patients underwent surgery. They were sent for serum CA-125, and trans-vaginal and abdominal ultrasounds for masses were done preoperatively. Their scores for RMI, simple rules, and ADNEX were calculated preoperatively, and the results were compared with the result of histopathology. Histopathologic, all our patients were found to have an adnexal mass of ovarian origin. 71 (71%) of women were benign tumours and 29 (29%) women were malignant. The main benign type was serous cystadenoma (35.2%), while the main malignant type was serous cystadenocarcinoma (58.6%). Malignant tumours of different stages were found: (17.2%) of malignancies were border line, (34.4%) were in stage I, (6.8%) patients were in stage II, (31.0%) were in stage III, (6.8%) in stage IV, and (3.4%) metastasis. The validity results of risk of malignancy index (RMI) findings regarding histopathology were sensitivity (58.6%), specificity (91.5%), positive predictive value (73.9%), negative predictive value (84.40%) and accuracy (82.0%). The validity results of simple rules regarding histopathology were sensitivity (75.9%), specificity (85.9%), positive predictive value (100%), negative predictive value (96.8%), and accuracy (83.0%). The validity results of ADNEX findings regarding histopathology were sensitivity (86.2%), specificity (94.4%), positive predictive value (86.2%), negative predictive value (94.4%), and accuracy (92%). ADNEX model can be used as a first-line test for the diagnosis of adnexal mass preoperatively.

https://www.mobafire.com/profile/bodrumboatcharter12-1124493?profilepage https://www.youmagine.com/bodrumboatcharter12/designs https://www.myminifactory.com/users/Bodrumboatcharter12 http://qooh.me/Bodrumboat https://linktr.ee/bodrumboatcharter12 https://pubhtml5.com/homepage/cyfrz/ https://telegra.ph/Bodrumboatcharter12-10-06 https://www.diggerslist.com/65200edb609f8/about https://allmyfaves.com/Bodrumboatcharter12 https://www.metal-archives.com/users/Bodrumboatcharter12 https://www.catchafire.org/profiles/2517778/ https://www.fimfiction.net/user/643612/Bodrumboatcharter12 https://www.hebergementweb.org/members/bodrumboatcharter12.562642/ https://www.sqlservercentral.com/forums/user/bodrumboatcharter12 https://www.twitch.tv/bodrumboatcharter12/about https://www.roleplaygateway.com/member/Bodrumboatcharter12/ https://www.provenexpert.com/bodrumboatcharter12/?mode=preview https://www.intensedebate.com/people/Bodrumboatt https://www.indiegogo.com/individuals/35449325 https://visual.ly/users/bodrumboatcharter/portfolio https://slides.com/bodrumboatcharter12 https://letterboxd.com/bodrumboatchart/ https://fliphtml5.com/dashboard/public-profile/vaszk https://community.windy.com/user/bodrumboat https://speakerdeck.com/bodrumboatcharter12 https://trello.com/u/bodrumboatcharter https://3dwarehouse.sketchup.com/user/de2dd7d0-2dae-4bdd-a23b-ec96ee37b233/Bodrumboatcharter12-B https://www.wattpad.com/user/Bodrumboatcharter12 https://www.goodreads.com/user/show/170494365-bodrumboatcharter12 https://gravatar.com/bodrumboatcharter https://www.mapleprimes.com/users/Bodrumboatcharter12 https://medium.com/@bodrumboatcharter https://www.ted.com/profiles/45231364 https://www.infragistics.com/community/members/1d7b0f7c364bf6536b4d8cf41f511023169b4d97?_ga=2.172971107.1358979024.1696603040-536746857.1696603039 https://www.metooo.io/u/65201c0779c47c11a2ee00af https://app.roll20.net/users/12503762/bodrumboatcharter12-b https://list.ly/bodrumboatcharter/activity https://giphy.com/channel/Bodrumboatcharter12 https://www.tumblr.com/bodrumboatcharter12 https://www.creativelive.com/student/bodrumboatcharter12?via=accounts-freeform_2 https://gab.com/Bodrumboatcharter12 https://www.flickr.com/people/199265856@N05/ https://seedandspark.com/user/bodrumboatcharter12-01hc4gehwfv7jsg1p5qm2n7nv8 https://os.mbed.com/users/bodrumboatcharter12/ https://calis.delfi.lv/blogs/lietotajs/317997-bodrumboatcharter12/ https://notionpress.com/author/933773 https://my.desktopnexus.com/Bodrumboatcharter12/ https://guides.co/a/bodrumboatcharter12-bodrumboatcharter12/ https://www.bahamaslocal.com/userprofile/1/250186/Bodrumboatcharter12.html http://molbiol.ru/forums/index.php?showuser=1302342 https://www.credly.com/users/bodrumboatcharter12-bodrumboatcharter12/badges https://ko-fi.com/bodrumboatcharter12#paypalModal https://devpost.com/bodrumboatcharter?ref_content=user-portfolio&ref_feature=portfolio&ref_medium=global-nav https://www.redbubble.com/people/Bodrumboat/shop?asc=u https://hub.docker.com/u/bodrumboatcharter12 http://onlineboxing.net/jforum/user/editDone/254299.page https://micro.blog/Bodrumboatcharter12 http://www.effecthub.com/user/3729559 http://hawkee.com/profile/5140816/ https://wefunder.com/bodrumboatcharter12 https://www.facer.io/user/axSXKCcsqA https://mastodon.online/@Bodrumboatcharter12 https://sketchfab.com/Bodrumboatcharter12 https://profiles.wordpress.org/bodrumboatcharter12/ https://dzone.com/users/5004481/bodrumboatcharter12.html https://www.mobafire.com/profile/bluecruiseturkey12-1124220?profilepage http://hawkee.com/profile/5120349/ https://www.youmagine.com/bluecruiseturkey12/designs https://www.myminifactory.com/users/Bluecruiseturkey12 http://qooh.me/Bluecruise https://linktr.ee/bluecruiseturkey12 https://pubhtml5.com/homepage/djvpw/ https://telegra.ph/Bluecruiseturkey12-10-04 https://www.diggerslist.com/651d2ecfdf065/about https://allmyfaves.com/Bluecruiseturkey12 https://www.metal-archives.com/users/Bluecruiseturkey12 [[[[[[[[[[[[[mail bekleniyor daha gelmedi sabah kontrol et]] https://www.catchafire.org/profiles/2514952/ https://www.fimfiction.net/user/642755/Bluecruiseturkey12 https://www.hebergementweb.org/members/bluecruiseturkey12.561596/ https://www.sqlservercentral.com/forums/user/bluecruiseturkey12 https://www.twitch.tv/bluecruiseturkey12/about https://www.roleplaygateway.com/member/Bluecruiseturkey12/ https://www.provenexpert.com/bluecruiseturkey12/?mode=preview https://www.intensedebate.com/people/Bluecru https://www.indiegogo.com/individuals/35422352 https://visual.ly/users/bluecruiseturkey/portfolio https://slides.com/bluecruiseturkey12 https://letterboxd.com/bluecruiseturke/ https://fliphtml5.com/dashboard/public-profile/llxdj https://community.windy.com/user/bluecruise https://speakerdeck.com/bluecruiseturkey12 https://trello.com/u/bluecruiseturkey https://3dwarehouse.sketchup.com/user/38b61a87-73b5-4478-84b6-6ed07331ab65/Bluecruiseturkey12-B https://www.wattpad.com/user/Bluecruiseturkey12 https://www.goodreads.com/user/show/170435355-bluecruiseturkey12 https://gravatar.com/bluecruiseturkeyf80ec2ddfb https://tr.pinterest.com/maviyolculukonline/ https://www.mapleprimes.com/users/Bluecruiseturkey12 https://medium.com/@bluecruiseturkey https://www.ted.com/profiles/45212773 https://www.infragistics.com/community/members/0be9390112c7a0030a5d74f39491a84152b988cf?_ga=2.60931624.541346193.1696417729-65453483.1696417729 https://www.metooo.io/u/651d485866133011a1e7753b https://app.roll20.net/users/12496298/bluecruiseturkey12-b https://list.ly/bluecruiseturkey/activity https://giphy.com/channel/Bluecruiseturkey12 https://www.tumblr.com/bluecruiseturkey12 https://www.creativelive.com/student/bluecruiseturkey12?via=accounts-freeform_2 https://gab.com/Bluecruiseturkey12 https://sketchfab.com/Bluecruiseturkey12 https://www.flickr.com/people/199265875@N03/ https://profiles.wordpress.org/bluecruiseturkey12/ https://wefunder.com/bluecruiseturkey12 https://seedandspark.com/user/bluecruiseturkey12-01hbx6zr7fag2jqjemqctz46xj https://calis.delfi.lv/blogs/posts/214915-httpsbluecruiseturkeyco/lietotajs/317499-bluecruiseturkey12/ https://os.mbed.com/users/bluecruiseturkey12/ https://notionpress.com/author/932684 https://my.desktopnexus.com/Bluecruiseturkey12/ https://guides.co/a/bluecruiseturkey12-bluecruiseturkey12/ https://www.bahamaslocal.com/userprofile/1/249117/Bluecruiseturkey12.html http://molbiol.ru/forums/index.php?showuser=1301780 https://www.credly.com/users/bluecruiseturkey12-bluecruiseturkey12/badges https://www.facer.io/user/9OSgH8lLUu https://ko-fi.com/bluecruiseturkey12#paypalModal https://mastodon.online/@Bluecruiseturkey12 https://devpost.com/bluecruiseturkey?ref_content=user-portfolio&ref_feature=portfolio&ref_medium=global-nav https://www.redbubble.com/people/Bluecruis/shop?anchor=profile&asc=u https://dzone.com/users/5003084/bluecruiseturkey12.html https://hub.docker.com/u/bluecruiseturkey12 http://onlineboxing.net/jforum/user/editDone/253923.page http://www.effecthub.com/user/3729187 https://micro.blog/Maviyolculukonline12 https://www.mobafire.com/profile/besthairtransplant12-1123844?profilepage https://www.youmagine.com/besthairtransplant12/designs https://www.myminifactory.com/users/Besthairtransplant12 http://qooh.me/Besthairt https://linktr.ee/besthairtransplant12 https://pubhtml5.com/homepage/gqmff/ https://telegra.ph/Besthairtransplant12-10-02 https://www.diggerslist.com/651a812418cea/about https://allmyfaves.com/Besthairtransplant12 https://www.metal-archives.com/users/Besthairtransplant12 https://www.catchafire.org/profiles/2513167/ https://www.fimfiction.net/user/642086/Besthairtransplant12 https://www.hebergementweb.org/members/besthairtransplant12.560830/ https://www.sqlservercentral.com/forums/user/besthairtransplant12 https://www.twitch.tv/besthairtransplant12/about https://www.roleplaygateway.com/member/Besthairtransplant12/ https://www.provenexpert.com/besthairtransplant12/?mode=preview https://www.intensedebate.com/people/Besthair12 https://www.indiegogo.com/individuals/35400980 https://visual.ly/users/besthairtransplant12/portfolio https://slides.com/besthairtransplant12 https://letterboxd.com/besthairr/ https://fliphtml5.com/dashboard/public-profile/imjqe https://community.windy.com/user/besthairtransp https://speakerdeck.com/besthairtransplant12 https://trello.com/u/besthairtransplant12 https://3dwarehouse.sketchup.com/user/aae1c26c-a3d5-45eb-9627-c0853a860d3b/Besthairtransplant12-B https://www.wattpad.com/user/Besthairtransplant12 https://www.goodreads.com/user/show/170382750-besthairtransplant12 https://gravatar.com/besthairtransplant12 https://tr.pinterest.com/besthairtransplant12/ https://www.mapleprimes.com/users/Besthairtransplant12 https://medium.com/@besthairtransplant12 https://www.ted.com/profiles/45197096 https://www.infragistics.com/community/members/adcd427ea388c1629996582e13d2b0a2c25ca61c?_ga=2.200070894.113000698.1696261445-1288411814.1696261445 https://www.metooo.io/u/651ae70566133011a1e604fc https://app.roll20.net/users/12490052/besthairtransplant12-b https://list.ly/besthairtransplant12/activity https://giphy.com/channel/Besthairtransplant12 https://www.tumblr.com/besthairtransplant12 https://www.creativelive.com/student/besthairtransplant12?via=accounts-freeform_2 https://gab.com/Besthairtransplant12 https://www.flickr.com/people/199263168@N04/ https://seedandspark.com/user/besthairtransplant12-01hbt6wnfb7k9h9bt6pfjbjzsp https://os.mbed.com/users/besthairtransplant12/ https://calis.delfi.lv/blogs/posts/214781-httpsbesthairtransplantco/lietotajs/317265-besthairtransplant12/ https://notionpress.com/author/932148 https://my.desktopnexus.com/Besthairtransplant12/ https://guides.co/a/besthairtransplant12-besthairtransplant12/ https://www.bahamaslocal.com/userprofile/1/248608/Besthairtransplant12.html http://molbiol.ru/forums/index.php?showuser=1301548 https://www.credly.com/users/besthairtransplant12-besthairtransplant12/badges https://ko-fi.com/besthairtransplant12#paypalModal https://devpost.com/hairclinicistanbul?ref_content=user-portfolio&ref_feature=portfolio&ref_medium=global-nav https://www.redbubble.com/people/Hairclinicc/shop?asc=u https://hub.docker.com/u/besthairtransplant12 http://onlineboxing.net/jforum/user/edit/253721.page https://micro.blog/Besthairtransplant12 http://www.effecthub.com/user/3729017 http://hawkee.com/profile/5094365/ https://wefunder.com/besthairtransplant12 https://www.facer.io/user/IBoUwjxbMK https://mastodon.online/@Hairclinicistanbul12 https://sketchfab.com/Hairclinicistanbul12 https://profiles.wordpress.org/hairclinicistanbul12/ https://dzone.com/users/4999725/besthairtransplant12.html

Share this article