Image-guided biopsy in ovarian masses, correlation with histopathological data and plan of management

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Congress:

ECR 2016

Poster Number:

C-2134

Type:

Scientific Exhibit

Keywords:

Oncology, Interventional non-vascular, Genital / Reproductive system female, Ultrasound, CT, Biopsy, Diagnostic procedure

Authors:

M. M. A. H. ElShafey, A. A. Dabbas, S. M. Helal, N. M. El-Etreby; Alexandria/EG

DOI:

10.1594/ecr2016/C-2134

DOI-Link:

https://dx.doi.org/10.1594/ecr2016/C-2134

Fig. 1: A 65 years old female patient presenting with diffuse abdominal swelling &...

Fig. 2: 50 years old female patient presented by pelvic pain. (A&B)Coronal and sagittal...

Fig. 3: 45 years old female patient presenting with diffuse abdominal swelling,...

Fig. 4: A 60 years old female patient presenting with right pelvi-abdominal palpable...

Aims and objectives

Normal 0 false false false EN-US X-NONE AR-SA Image-guided biopsy has currently a major role in the diagnosis of advanced and recurrent gynecological malignancies. Successful fine needle or core needle biopsy eliminates the need for more invasive and extensive diagnostic procedures such as laparoscopy or laparotomy and thereby evidently reduces morbidity and cost. It was therefore important to study the accuracy of such procedure. The most important factor affecting survival in patientswith ovarian cancer is the extent of cytoreductive surgery. Initial neoadjuvant chemotherapy followed by...

Methods and materials

Normal 0 false false false EN-US X-NONE AR-SA Patients: The study included 100 patients presented by cystic and solid ovarian masses undergone diagnostic imaging procedures including either CT or MRI or both, in addition to an initial ultrasound and referred for imaging guided biopsy for one of following reasons: · Uncertain diagnosis. · Women with highly suspected ovarian cancer but with poor performance state or with advanced disease beyond the scope of surgery. · Women with history of a known managed non adnexal primary cancer...

Results

Normal 0 false false false EN-US X-NONE AR-SA Results: The patient's age ranged from 30 to 70 years, and the commonest age group was between 50- 60 years. Clinical complaint: Abdominal/pelvic pain and discomfort was present in 34.9% of patients, 25.6% presented by abdominal distension and swelling, 23.3% by both abdominal distension and pain and 16.3% mainly with loss of weight or cachexia. Type of the lesion: Purely solid lesions represented only in 5 patients (2 lymphoma and 3 metastases), purely cystic lesions represented only...

Conclusion

Image-guided biopsy is a safe effective tool in the diagnosis of ovarian masses and could be included in the plan of management.

Personal information

M. M. A. H. ElShafey Radiology Department, Faculty of Medicine, Alexandria University, Egypt. A. A. Dabbas Radiology Department, Faculty of Medicine, Alexandria University, Egypt. S. M. Helal Pathology Department, Faculty of Medicine, Alexandria University, Egypt. N. M. El-Etreby Gynecology Department, Faculty of Medicine, Alexandria University, Egypt.

References

Normal 0 false false false EN-US X-NONE AR-SA 1- Pecorelli S, Odicino F, Favalli G. Interval debulking surgery in advanced epithelial ovarian cancer. Best practice & research Clinical obstetrics & gynaecology. 2002;16:573-83. 2- Suprasert P, Tiyanon J, Kietpeerakool C. Outcome of interval debulking in advanced ovarian cancer patients. Asian Pacific Journal of Cancer Prevention. 2008;9:519-24. 3- Spencer JA, Anderson K, Weston M, Wilkinson N, Hewitt M. Image guided biopsy in the management of cancer of the ovary. Cancer imaging : the official publication of the...