الفهرس 
IntroductionOnly 14 pages are availabe for public view
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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.