الفهرس 
Pathology of ovarian lesionsOnly 14 pages are availabe for public view
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Abstract
Ovarian tumors; are the second most common gynecological tumor and
is the fifth commonest tumor in women.
Although the final diagnosis of an ovarian tumor is based on the
histological examination, it is desirable to preoperatively differentiate
benign, BOTs and invasive ovarian cancers in order to decide whether
surgery is required, and which type of surgery is appropriate. Thus, it can
help avoiding unnecessary surgery especially in postmenopausal women
and help deciding for conservative surgery for young ones wishing to
preserve childbearing potential.
TVUS is the first imaging modality that can be used for detection of
adnexal mass lesion. However, lesion characterization is done with the help
of MRI.
This study included 20 patients with clinically suspected ovarian
neoplasms referred to Radio-diagnosis departement at Tanta university
hospital and Kafr Elsheikh general hospital in the period from November
2014 to December 2015. 13 lesions were benign, 1 borderline and 6 were
malignant.
Conventional MRI provides soft tissue characterization based on
different signal intensities and contrast uptake in post contrast images, it had
100% sensitivity, 78.6% specifity, 62.5%PPV, 91.7%NPV and 80%
accuracy.
Being a cost effective choice, and in addition to MRI ability for
accurate diagnosis, it can replace computed tomography (CT) in preoperative.