Clinical Imaging and Surgical Evaluation of Malignant and Surgically Difficult Uterine Cases
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- Category: Vol. 84, September 2016
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Clinical Imaging and Surgical Evaluation of Malignant and Surgically Difficult Uterine Cases, AHMED L. ABOULNASR, AHMED S. NASR, ASHRAF S. SELIM, MOSTAFA S. SALEM and MOHAMED A. SHALABY
Abstract
Background: In this study we aim at detection of the most appropriate tool of imaging in the provisional diagnosis of uterine malignant and surgically difficult cases to be able to plan the most appropriate management.
Objectives: Evaluation of the role of magnetic resonance imaging and ultrasonography in the provisional diagnosis of uterine malignant and surgically difficult cases, comparing their results with surgical evaluation and finally with the pathological examination.
Study Design: Thirty cases with uterine malignant and surgically difficult disorders were all under gone both ultrasonography and magnetic resonance imaging and results for all were compared with surgical evaluation and finally with pathology.
Results: Ultrasound results matched pathological exam in 22 out of 30 uterine cases (73.3%), with sensitivity 93.4% and specificity 93.4% and magnetic resonance imaging matched only in 13 cases out of 30 cases (43.3%), with significant difference (p.value 0.040).
Conclusion: The results of our study showed the superiority of ultrasound over magnetic resonance in provisional diagnosis of uterine malignant and surgically difficult cases.