The adnexal mass: Benign or malignant? Evaluation of risk of malignancy index

  • Shamsun Nahar Department of Obstetrics and Gynecology, Central Medical College, Comilla
  • Latifa Shamsuddin Department of Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka
Keywords: Adnexal mass, Benign, Malignancy index, Malignancy

Abstract

Background: Screening programme for ovarian malignancy is an international public demand.

Ojective: To validate a risk of malignancy index (RMI) incorporating serum CA125, abdominal ultrasound findings and menopausal status for preoperative diagnosis of ovarian malignancy among patient with adnexal mass.

Methods: This prospective observa­tional study was conducted on 57 patients having adnexal mass admitted consecutively for surgical exploration in BSMMU from January 2000 to March 2001. S. CA125 assay & abdominal ultrasonography was done within 10 days preoperatively. Ultrasound score (0, 1 & 3) using 5 sonographic features & menopausal score (1 & 3) were calculated. RMI was detected by the formula "RMI = Ultrasound score - Menopausal score - S. CA125 level" Definitive diagnosis was based on histopathological examination.

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Author Biography

Shamsun Nahar, Department of Obstetrics and Gynecology, Central Medical College, Comilla

 

 

Published
2016-08-04
How to Cite
Nahar, S., & Shamsuddin, L. (2016). The adnexal mass: Benign or malignant? Evaluation of risk of malignancy index. Bangabandhu Sheikh Mujib Medical University Journal, 6(2), 127-134. https://doi.org/10.3329/bsmmuj.v6i2.29128
Section
Original Articles