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2015 Month : October Volume : 4 Issue : 80 Page : 13931-13936

OVARIAN CRESCENT SIGN IN PREOPERATIVE PREDICTION OF MALIGNANCY IN ADNEXAL MASSES.

Jyoti Jaiswal1, Avinashi Kujur2, Anand Jaiswal3, Sonali Route4

CORRESPONDING AUTHOR:
Dr. Avinashi Kujur,
A-12, Maruti Residency,
Amlidih, Raipur-492001,
Chhattisgarh.
E-mail: avinashikujur@gmail.com, krkujur@gmail.com

ABSTRACT: AIM: To evaluate Ovarian Crescent sign for diagnosing the benign from malignant adnexal masses. Methods: This was a prospective observational study including 50 women attending the Department of Obstetrics and Gynaecology, Pt. J. N. M. Medical College Raipur CG. All women underwent detailed Ultrasonographic examination and presence or absence of ovarian crescent sign was recorded. After appropriate surgical intervention diagnosis was confirmed by Histopathological report. The Ultrasonographic data of ovarian crescent sign was compared with that of the Histopathological reports. RESULTS: Out of 50 adnexal masses 30 were benign and 20 found to be malignant. Ovarian crescent sign was absent in all 20 malignant cases giving negative predictive value of 100%. Out of 30 benign masses ovarian crescent sign was recorded in 28 cases. The sensitivity of ovarian crescent sign is of 93.3%, specificity 100%, PPV90.9% and accuracy of 96% that is found to be highly significant. CONCLUSION: The Ovarian crescent sign with 100 % NPV and specificity is a simple and effective diagnostic tool in predicting the malignant potential of adnexal masses.

KEYWORDS: Ovarian crescent sign, predictive value, Adnexal mass.

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