IMR Press / EJGO / Volume 39 / Issue 5 / DOI: 10.12892/ejgo3777.2018

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Risk of malignancy index in discrimination between benign and malignant adnexal masses
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1 University Clinic for Gynecology and Obstetrics “Narodni front”, Belgrade, Serbia
Eur. J. Gynaecol. Oncol. 2018, 39(5), 733–736; https://doi.org/10.12892/ejgo3777.2018
Published: 10 October 2018
Abstract

Introduction: Ovarian cancer is a big health concern, which continually attracts clinical debate in regard to validation and improvement of methods for malignancy prediction in women with adnexal masses. Purpose of investigation: The aim of this study was to evaluate the validity of the risk of malignancy index (RMI) as a diagnostic tool for discrimination between benign and malignant adnexal masses. Materials and Methods: The study group of 153 women with adnexal tumours were investigated and the RMI was calculated for each patient. Results: According to the histological examination of the specimens, 116 (75.8%) women had benign conditions, while 37 (24.2%) women had malignant masses. The RMI was reliable in 85% of all women with adnexal masses, and optimal cut-off value of 200 provides the highest performance for preoperative triage of adnexal masses. Conclusions: Although this study confirmed that the RMI is useful method for preoperative identification of benign and malignant adnexal masses, it is only a diagnostic tool and cannot predict malignancy in all cases.
Keywords
Ovarian cancer
Risk of malignancy index
Preoperative evaluation
Adnexal masses
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