COMPARATIVE STUDY BETWEEN LAPAROSCOPY AND MULI- DETECTOR COMPUTED TOMOGHRAGHY IN OVARIAN CANCER SCORING
Dr. Sarah Shaban Mohamed Hussein, Prof. Dr. Ahmed Noman Sallam, Prof. Dr. Mahomud El Said Melis, Dr. Amira Mohamed Badwi, Dt. Hebatallah Hassan Mamdouh
Background: Ovarian cancer (OC) was the 7th most frequent cancer diagnosis worldwide, with 238,700 new cases in 2012, and the 8th leading cause of cancer mortality. Objectives: Ovarian cancer (OC) was the 7th most frequent cancer diagnosis worldwide, with 238,700 new cases in 2012, and the 8th leading cause of cancer mortality Method: This is a prospective cross section study that was started from November 2016 to December 2017.condcuted at El-Shatby Hospital, Obstetrics and Gynecology Department, Alexandria University. 25 patients with OC were included in the study fulfilling the inclusion and exclusion criteria, after taking consents. All patients were subjected to diagnostic laparoscopy (DL), multi-detector computed tomography (MDCT), and surgical laparotomy. Results: DL was 100% sensitive in diagnosis of peritoneal carcinomtosis, meanwhile, MDCT had 61.9 % sensitivity. DL has very good agreement with laparotomy in diagnosis of surface liver infiltration. Superficial surface stomach infiltration was present in 25% of studied patients, all cases were diagnosed by laparoscopy, while MDCT diagnosed 20% of cases. Conclusion: combined findings of DL and MDCT can be used effectively for pre-operative staging of OC.
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