Laparoscopic Management of sonographically suspensious ovarian masses

Document Type : Case Report

Authors

1 Obstetrics and gynaecology department, Faculty of medicine Al-Azhar University for girls, cairo

2 Obstetrics and gynaecology department Faculty of medicine Ain Shams University

3 Faculty of medicine , Cairo University Kasr Al Aini, Obstetrics and gynaecology department

Abstract

Background: This clinical trial was done to evaluate the role of laparoscopy in management of sonographically suspicious adnexal masses. This study was conducted in the obstetrics and gynecology outpatient’s clinics of Maadi military hospital, Cairo. This study was conducted on 54 Patients suspected to have ovarian mass by ultrasound imaging.
Objective: To evaluate the role of laparoscopy in management of sonographically suspicious adenexal masses.
Patients and Methods: Patients who are diagnosed with an ovarian mass that appear suspicious by 2D ultrasound imaging, who seek medical advice in the Obstetrics and Gynecology outpatient’s clinics of Maadi military hospital, Cairo; from January 2022 till November 2022.
Results: Serum Ca-125 level had a sensitivity of 76.4 % (52.74–90.44), a specificity of 85.3 % (71.56–93.12), a positive predictive value of 68.4 %, and a negative predictive value of 89.7 %. Indicating the RMI was superior than CA-125 in discriminating between benign from malignant tumors which agree with our results.
Conclusion: In our study; suspicious ovarian masses can be managed laparoscopically as a diagnostic and therapeutic tool especially if the facility of Frozen Section Biopsy can be offered. Laparoscopic surgery seems to offer significant advantages such as reduced hospital stay, less adverse effects as decreased post-operative pain, lesser de-novo adhesions formation, better cosmetic result and faster recovery.

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