Accuracy of Multi-detector Computed Tomography compared to laparoscopy In Ovarian Cancer Staging | ||
| Al-Azhar International Medical Journal | ||
| Volume 2024, Issue 1, January 2024 | ||
| DOI: 10.58675/2682-339X.2193 | ||
| Authors | ||
| Awad Mahmoud Awad1; Ahmed El-Sayed Mohammed Abd Elrahman2; Mohamed Hasan Mohamed El-Kasser3; Mohammad Abol wafa Ahmad4 | ||
| 1MD at Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 2Professor of OncoSurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 3Assistant Professor of general Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; | ||
| 4Lecturer of Diagnostic and intervention Radiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: When it comes to staging and monitoring ovarian cancer (OC), multidetector computed tomography (MDCT) of the abdomen is now the gold standard imaging scan. Most cases of OC that have metastasis to different locations in the body have done so via peritoneal metastases (PMs). In order to investigate whether or not the intraperitoneal cavity and retroperitoneal lymph nodes can be appropriately evaluated during laparoscopic staging of patients with OC, a prospective study was conducted. Aim and objectives: The main aim of this research is to contrast the accuracy of MDCT compared to diagnostic laparoscopy in staging of OC. Subjects and methods: This retrospective investigation was performed on forty patients presented by OC. All patients’ undergone surgery in the Surgical Oncology Department of Al-Azhar University Hospitals. Each patient in the research underwent a thorough medical history and assessment, as well as laboratory tests and a laparoscopy. Result: There were 95% cases serous, 2.5% were mucinous, 2.5% were endometrioid, 47.5% were low grade, 52.5% were high grade, 5% were stage II, 45% were IIIA, 30% were IIIB and 20% IIIC. Conclusion: The diagnosis of OC can be helped by both MDCT and laparoscopy. When there is a high likelihood of inadequate cytoreduction because of the severity of the illness, laparoscopy is an invaluable tool. Patients with OC may benefit from a more precise diagnostic tool, such as a multi marker approach comprising of CA125, AFP, and LDH. | ||
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