الفهرس | Only 14 pages are availabe for public view |
Abstract The Aim of the work: Is to determine the diagnostic accuracy of Transvaginal ultrasonography, colour Doppler and Ca125 in the evaluation of pelvic adnexal masses. In conclusion our date would confirm that morphologic assessment of adnexal masses Should be able to differentiate benign from malignant masses with a high degree of Malignant masses with respect to flow index values assessed by colour Doppler Imaging. Overlap of these values exists that precludes colour flow Doppler imaging Benign used alone as a malignancy discriminator, and the combination of TVS and Colour flow Doppler imaging affords us with the greatest overall accuracy in Attempting to differentiate between benign and malignant ovarian tumors. In our series, color flow mapping by itself performed reasonably well in identifying Malignancy in solid ovarian tumours and in complex cysts with solid areas. It failed To identify 66 percent and 100 percent of malignancies in complex and simple cysts Respectively. Although our series is hampered by small numbers, it suggests that Colour flow mapping alonemay lack the sensitivity to reliably differentiate between Benign and malignant ovarian tumours. Perhaps accuracy may be improved with the Addition of pulsed Doppler studies. Such studies are not without their problems. The use of micro bubbles in improving pulsed Doppler and colour flow imaging is Promising but more work is needed to assess these exciting new procedures. |