Objective:
The main objective was to evaluate the diagnostic tools used for diagnosis of stage I ovarian cancer.
Patients & methods:
This is a descriptive study was conducted during the period from 1999 to 2003 at Sohag University Hospital. 53 patients out of 212 had stage I ovarian cancer was included in the study. They subjected to thorough history taking, proper examination and routine investigations. Ultrasonography with Doppler flowmetry, CT, IVP and CA-125 were done for all patients. Surgical staging and histopathological examination of all specimens was carried out
Results:
Ovarian cancer represented the most common type of genital tract malignancy 124(64.92%). 53(25%), 11(5.18%), 114 (53.77%) and 34(16.03%) cases were diagnosed as stage I, II, III and IV respectively. 27 patients (50%) with stage I ovarian cancer were symptomless at time of diagnosis. The most common symptoms in stage I ovarian cancer was abdominal swelling or fullness.
Conclusions:
Both of CT scan and Ultrasonography examination were found to be better than the clinical impression based on symptoms and signs in predicting the malignant nature of ovarian masses.