Validity of the pelvic mass score in comparison with other scoring systems in preoperative evaluation of ovarian masses

ObjectiveTo evaluate the value of the pelvic mass score (PMS) in the prediction of the nature of ovarian masses in women presenting to a large tertiary gynecological center, namely, the Ain Shams University Maternity Hospital. Study designThe study included women presenting to the outpatient clinic of Ain Shams University Maternity Hospital with a diagnosis of an ovarian mass, and planned for surgical intervention. The following scoring systems were used in the current study: risk of malignancy index (RMI), Sassone score, ovarian tumor index (OTI), and the PMS. All the women included underwent a surgical intervention in the form of laparotomy for cytoreduction, oophorectomy/adnexectomy, ovarian cystectomy, or just deroofing and biopsy. ResultsA total of 176 women with ovarian masses were included in the study. The mean age of the women included was 42.94±13.53 years (range 18–76 years). The ovarian mass was of a benign nature in 98 (55.7%) women, of a borderline nature in eight (4.5%), and of a malignant nature in 70 (39.8%). PMS was the most significant predictor among all these variables and score by having the largest area under the curve [AUC 0.919, 95% confidence interval (CI) 0.878–0.960, P
Source: Journal of Evidence-Based Women’s Health Journal Society - Category: OBGYN Tags: Original articles Source Type: research