Kliniğimizde Malignite Rıskı İndeksinın Sınır Değerinin Belirlenmesi

• Published in: Dicle tıp dergisi 2017-06, Vol.44 (2), p.151-151
• Main Authors: Guraslan, Hakan, Şentürk, Mehmet Baki, Yaşar, Levent
• Format: Article
• Language: Turkish
• Subjects: Collaboration; Health risk assessment; Medical screening; Mortality; Ovarian cancer; Surgery
• ISSN: 1300-2945; 1308-9889
• DOI: 10.5798/dicletip.319736

Objective: Epithelial ovarian cancer is the first cause of death among gynecologic cancers. The most important prognostic factor is the stage of disease and the overall survival is better in early stage. Hence the evaluation of the patient with adnexal mass is important. On the other hand unnecessary surgery can increase morbidity, mortality and the unnecessary cost. Although malignity index risk score is a useful tool for preoperative evaluating of adnexal masses, it is difficult to use and different cut off values are recommended for different populations. In this retrospective analysis, we investigate proper cut off values for our patients who underwent surgery for adnexal masses.Methods: We evaluated the outcomes of 235 patients underwent surgery for adnexal masses retrospectively. Malignity risk score was calculated according to the dimension of the masses, their localization, presence of ascites, menopause status and CA 12.5 level. For determining the cut off level of RMI, ROC curve analysis was used. Sensitivity, specificity, positive and negative predictive value also evaluated for cut-off value of 100, 150 and 200. A p value was statistically accepted meaningful when p