Author/Authors :
ABOULNASR, AHMED L. Cairo University - Faculty of Medicine - Department of Obstetrics Gynecology, Egypt , NASR, AHMED S. Cairo University - Faculty of Medicine - Department of Obstetrics Gynecology, Egypt , SELIM, ASHRAF S. Cairo University - Faculty of Medicine - Department of Diagnostic Radiology, Egypt , SALEM, MOSTAFA S. Cairo University - Faculty of Medicine - Department of Pathology, Egypt , SHALABY, MOHAMED A. Cairo University - Faculty of Medicine - Department of Obstetrics Gynecology, Egypt
Abstract :
Background: In this study we aim at detection of the most appropriate tool of imaging in the provisional diagnosis of adnexal 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 adnexal malignant and surgically difficult cases, comparing their results with surgical evaluation and finally with the pothological examination.Study Design: Thirty cases with adnexal malignant and surgically difficult disorders were all under gone both ultra-sonography and magnetic resonance imaging and results for all were compared with surgical evaluation and finally with pothology.Results: Magnetic resonance imaging matched pathological results in 24 out of 30 adnexal cases (80%), with sensitivity and specificity 93.8% 89.3% and ultrasound matched only in 16 cases (53.3%), with significant difference, (p.value 0.044).Conclusion: The results of our study showed the superiority magnetic resonance imaging in provisional diagnosis of adnexal malignant and surgically difficult cases over ultrasonography.
