الفهرس | Only 14 pages are availabe for public view |
Abstract Cervical cancer is the second gynecological cancer and the fifth leading cause of cancer death in women worldwide. Cancer of the uterine cervix is the major cause of death from gynecologic cancer worldwide. This study aims at highlighting the role of ultrasound elastography in differential diagnosisof benign and malignant cervical masses. This study included 30 female patients. Their ages ranged from 32 to 70 years, 20 malignant cervical masses and 10 benign cervical masses. We evaluated the cervical masses concerning echogenicity,size,intratumoural vascularity and RI by conventional TV and power Doppler ultrasound. There was no statistically significant difference in RI between benign and malignant cervical masses. Sonoelastography was used to evaluate the qualitative parameter ‘‘elasticityscore’’ (ES) and the quantitative parameter ‘‘strain ratio’’(SR) of benign and malignant cervical masses. Elastographic images are given as 1 to 5 elasticity scores.Scores 1, 2 and 3 are considered benign and score 4 and 5 are considered malignant.In our study, 8 cases of 10 benign masses had a score of 2 and 3and the remaining 2cases had a score of 4.Of the twenty malignant masses, two had a score of 3, sixteen had a score of4 and two had ascore of 5.False positive results with elastography were reported as there were two benign masses of a score 4 and two malignant masses of a score 3.We achieved 80.0 % specificity and80% sensitivityin the qualitative examination. |