Comparison of SASSONE Scoring and ADNEX Model in Differentiating Benign and Malignant Ovarian Neoplasm in a University Hospital
10.35460/2546-1621.2017-0072
- Author:
Romina Grizelda O MALLARI
1
;
Maria Lourdes B COLOMA
2
Author Information
1. Resident, Department of Obstetrics and Gynecology, University of Santo Tomas Hospital, 731 3001 local 2229
2. Consultant, Department of Obstetrics and Gynecology, University of Santo Tomas Hospital, 731 3001 local 2479
- Publication Type:Journal Article
- Keywords:
Adnexa;
Ultrasound
- MeSH:
Ovarian Neoplasms;
Mass Screening
- From:
Journal of Medicine University of Santo Tomas
2018;2(1):192-200
- CountryPhilippines
- Language:English
-
Abstract:
Background:Ovarian cancer is the second most
common gynecologic cancer worldwide and are
usually diagnosed in advanced stages where prognosis is very poor. Ultrasound has been widely used
to screen and differentiate benign and malignant
ovarian neoplasm. There are several ultrasound
scoring system designed to aid in the diagnosis,
however, there is still no standard method accepted
for screening of ovarian cancer.
Objective:To compare the accuracy of SASSONE
Scoring and ADNEX Model in differentiating benign
and malignant ovarian neoplasm in the University of
Santo Tomas Hospital.
Methodology:Sixty-eight women who presented
with an ovarian neoplasm by history and physical
examination were recruited from January to October
2017. Ultrasound was requested to further characterize the mass.
Sassone scoring and ADNEX Model were applied and
computed based on the sonologic fi ndings to differentiate
whether the ovarian neoplasm was benign or malignant.
The gold standard was the histopathologic examination
of the mass after surgery.
Results:There was no signifi cant difference in the
accuracy of Sassone Scoring and ADNEX model
in pre-operatively differentiating benign and malignant ovarian neoplasm with 88% and 89% accuracy rate, respectively. Sassone scoring has a sensitivity of 62.5% and specifi city of 91.67% while
ADNEX has a sensitivity and specifi city of 37.5%
and 96.67%, respectively
Conclusion:There is no signifi cant difference in using SASSONE and ADNEX model in differentiating
benign and malignant ovarian neoplasm prior to
surgery. Both may be used as an ultrasound scoring
system for predicting ovarian malignancy. However,
in cases of suspicious tumors, ADNEX model is more
useful in discriminating the type and stage of malignancy.
- Full text:JMUST 010.pdf
