Volume : VII, Issue : IX, September - 2017

Applicability of Risk of Malignancy Index in evaluation of adnexal masses

Dr. S. V. Hemalatha, Dr. Lavanya. K

Abstract :

 Background: To differentiate a benign from malignant ovarian masses is important in planning an approach and treatment options. Aim:   To determine the applicability of RMI 2 in discrimination between benign and malignant adnexal mass. Methods:    A retrospective study of 100 patients with adnexal masses admitted in ISO & Govt. KGH, Chennai, during January 2016 to December 2016. Prior to surgery pelvic ultra–sonogram was performed. Pre–operative serum CA125 levels estimated. Menopausal status was also noted. RMI 2 was calculated using ultra sonogram score, menopausal status and CA125 levels (U/ml).  RMI 2 cut–off > 200 was taken to indicate malignancy. Results: One hundred women with ovarian masses were included in study 82% had benign mass while 18% had malignant ovarian mass. Ovarian malignancy was found with increasing age, high USG score and high serum CA125 level. Conclusion: Our study shows that RMI 2 is a reliable tool to discriminate between benign and malignant ovarian tumours. It is a simple, easy and cost effective method in resource limited settings.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.S.V.Hemalatha, Dr.Lavanya.K, Applicability of Risk of Malignancy Index in evaluation of adnexal masses, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-9 | September-2017


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