ROLE OF MULTI-DETECTOR COMPUTED TOMOGRAPHY IN CHARACTERIZATION OF OVARIAN MASSES WITH CYTOHISTOPATHOLOGICAL CORRELATION

Abstract

Aims & Objectives- To evaluate the diagnostic accuracy of MDCT to differentiate between benign and malignant ovarian masses and to compare the ndings with cytohistopathological results. Material & Methods- This prospective observational study was conducted at SRMS, Institute of Medical Sciences, Bareilly from November 2019 to April 2021. CT imaging ndings of 50 patients with ovarian masses diagnosed clinically or on pelvic sonography were compared with cyto-histopathological results. Ovarian masses were classied as benign or malignant based on scan ndings. Sensitivity, specicity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy of MDCT were calculated. 50 c Results- ases were evaluated by computed tomography, total 60 lesions were found (10 bilateral / 50 unilateral). On the basis of computed tomography 28 patients were found to have benign ovarian lesions whereas malignant ovarian lesions were present in 22 patients. Cyto/histopathological correlation revealed benign lesions in 30 patients and malignant lesions in 20 patients. The sensitivity, specicity, PPV, NPV and diagnostic accuracy of Computed Tomography was found to be 90.0%, 86.6%, 89%, 85% and 90.0%. MDCT imaging offers a safe, accurate and non-invasive modality tdif Conclusion- ferentiate between benign and malignant ovarian masses.