Comparative Study between use of IOTA and ORADS Consensus Scores in Diagnosis of Ovarian Masses Using Ultrasound

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University

2 Department of Radiodiagnosis and Intervention , Faculty of Medicine, Alexandria University, Alexandria, Egypt

3 Department of Pathology, Faculty of Medicine, Alexandria University, Alexandria, Egypt

4 Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Abstract

Introduction
In general, adnexal lesions are common and usually benign. Benign ovarian tumors have been shown to be associated with an increased risk of ovarian cancer, although they may be found incidentally during imaging for other unrelated conditions or in individuals with symptoms (such as pelvic discomfort or a palpable pelvic mass).
With a five-year survival rate of about 40%, ovarian cancer is the most aggressive gynecological cancer and is responsible for about half of all gynecological cancer-related deaths. Referral to a gynecological oncology center for additional diagnosis or staging and therapy with a multidisciplinary team is a significant factor that determines prognosis in addition to stage at diagnosis, which is the most critical determinant for survival.
Accurate description of adnexal lesions on imaging is critical to avoid unnecessary surgery for benign lesions and to refer suspicious tumors to a gynecologic oncologist. Ultrasound is considered the first choice useful imaging test for diagnosis of ovarian and adnexal masses because it is a noninvasive, widely available, inexpensive imaging technique with little risk or pain to the patient.

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