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The correlation of preoperative CT, MRI findings with intra-operative findings in primary gynecological Cancers.
Author(s):
1. Ayesha Isani Majeed: Radiology Department, Pakistan Institute of Medical Science, Islamabad, Pakistan
2. Ghazala Mehmud: Quaid e Azam Postgraduate Medical College, Islamabad, Pakistan
3. Kaukab Naeem Syed: Radiology Department. Pakistan Institute of Medical Science, Islamabad, Pakistan
4. Saadia Arif: Maternal & Child Health Care Centre, Pakistan Institute of Medical Science, Islamabad, Pakistan
Abstract:
Purpose: To compare the preoperative findings of abdomino-pelvic CT and MRI with the intra-operative findings in patients with primary gynecological cancers. Materials and Methods: The study was conducted in the Department of Radiology and MCH Centre at Pakistan Institute of Medical Sciences, Islamabad from 1st January 2012 to 31st July 2012. Thirty-four patients with the diagnosis of gynaecological cancers were included in the study. Various parameters were looked for radiologically in the pre-operative imaging which were then compared with per-operartive findings. Results: Out of total of 34 patients, 18 patients were diagnosed to have cancer ovary while 10 patients had cancer cervix. Cancer endometrium was diagnosed in 06 patients. All the parameters were rightly diagnosed at the time of pre-operative imaging (CT or MRI). However, omental and peritoneal deposits were not detected radiologically in 13 patients. (Statistically significant p value=0.017). Conclusion: The study highlighted the fact that the presence of omental /peritoneal deposits was missed in pre operative CT/MRI scans and was subsequently identified intra-operatively. Hence, it can be concluded that we need to improve our detection rate for peritoneal/omental deposits for better patient management.
Page(s): 12-14
DOI: DOI not available
Published: Journal: Medical Channel: Journal of Modern Dental and Medical Sciences, Volume: 19, Issue: 1, Year: 2013
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