Ovarian Cancer
Conditions
Brief summary
The investigators are assessing the incidence of ovarian cancer in premenopausal women who were at moderate risk of malignancy with low CA125.
Detailed description
About 10% of premenopausal women may have a surgery for ovarian masses. In premenopausal women the incidence of ovarian malignancy is 1:1000 in case of symptomatic ovarian cyst.1 CA125 is unreliable in differentiating benign from malignant ovarian mass in premenopausal women due to many false positive results and reduced specificity.1 pelvic vaginal ultrasonography is the most effective tool in evaluating ovarian masses due to increased sensitivity over abdominal US.1 An estimation of risk of malignancy index is essential in evaluating an ovarian mass.26 /2 Risk of malignancy index combines presurgical features serum including CA125, menopausal status and ultrasound findings. RMI=Ux Mx CA125 in which each feature takes a score and after calculation score less than 25 is mild, from 25-250 moderate and more than 250 has a severe risk of malignancy needing oncologist.44/3
Interventions
Calculation of RMI before sugery.
Sponsors
Study design
Eligibility
Inclusion criteria
* Women with complex ovarian cyst * Abdominal pain * Menometrorrhagia
Exclusion criteria
* Significant weight loss * Cachexia * History of ovarian or other malignancy * Family history of ovarian Cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of ovarian malignancy | one year | Calculation of number of women who had ovarian cancer after an operation in moderate risk |
Countries
Egypt