Correlation of ovarian adnexal reporting and data system classification with histopathological examination in diagnosis of adnexal masses

Le résumé fourni par la source

Background: Adnexal masses are common and present significant clinical challenges related to diagnostic imaging, surgery and pathology. Ovarian adnexal reporting and data system (O-RADS) serves as both a lexicon and risk stratification tool, which is designed to accurately characterize adnexal lesions and facilitate optimal patient management. This study aimed to evaluate the diagnostic accuracy of O-RADS using histopathological examination as the gold standard. Methods: This was a prospective observational study conducted in the department of Obstetrics and Gynaecology, Radio-diagnosis, Pathology in collaboration with the department of radio-diagnosis and pathology at Government Medical College and Hospital, Chandigarh from December 2022 to March 2024. A total of 35 women who were diagnosed with adnexal masses were included in the study. Results: The age group of presentation of adnexal masses in our study was 14 to 62 years of age with a mean age of 31.69±11.25 years. O-RADS score 2 was 100% sensitive and 21.4% specific for detecting benign adnexal masses. ORADS score 3 was 100% sensitive and 24% specific for detecting benign masses. O-RADS score 4 was 25% sensitive and 89.47% specific for detecting malignant adnexal masses. Similarly, ORADS score 5 was 100% sensitive and 87.88% specific for detecting malignant masses using histopathology as the gold standard. Conclusions: The ORADS classification system has a high sensitivity in differentiating between benign and malignant lesions when correlated with gold standard histopathology report.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.