TO STUDY THE DIAGNOSTIC ROLE OF VARIOUS RISKS OF MALIGNANCY INDICES (RMI 1,2,3,4) IN THE PRE OPERATIVE EVALUATION OF ADNEXAL MASSES AND TO COMPARE THE FOUR RMI WITH EACH OTHER IN TERMS OF VARIOUS STATISTICAL PARAMETERS.
Keywords:RMI, Adnexal, Malignancy & Operative
Background & Method: Study subjects will be evaluated pre-operatively for their risk of developing malignancy according to the RMI scoring system, and then followed post operatively, in most of the cases for the histopathological findings to find the predictive value of the RMI scoring system, and further the usefulness of RMI system as a screening method for malignant ovarian cancer.
Result: In postmenopausal females, the accuracy of all these screening tools increases due to high prevalence of epithelial ovarian cancers in postmenopausal females. RMI 1 has the highest sensitivity, while RMI 4 shares the highest specificity due to its high cut off value of 450. Overall, RMI 1 and RMI 3 have similar accuracy as a screening tool.
Conclusion: Considering the high fatality to case ratio of ovarian malignancies, RMI provides us with an opportunity of detecting ovarian malignancy at an earlier stage and thereby improving the prognosis and overall survival of patients. According to the present study, RMI 1 is the best parameter for screening of ovarian masses in terms of all the statistical parameters.
Keywords: RMI, Adnexal, Malignancy & Operative.
Study Designed: A Prospective Cohort Study.
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