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Difference between revisions of "Ovarian tumours"
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An introduction to the ovary is in the ''[[ovary]]'' article, which also deals benign cysts. | An introduction to the ovary is in the ''[[ovary]]'' article, which also deals benign cysts. | ||
==Clinical== | |||
Gynecologists use a scoring system to help decide which patients need surgery and estimate their pre-op risk of malignancy. | |||
===Risk of malignancy index=== | |||
*Abbreviated ''RMI''. | |||
*There are two versions.<ref name=ukguide>URL: [http://www.sign.ac.uk/guidelines/fulltext/75/section3.html http://www.sign.ac.uk/guidelines/fulltext/75/section3.html]. Accessed on: 16 September 2011.</ref> | |||
Elements & points (RIM 2):<ref name=ukguide>URL: [http://www.sign.ac.uk/guidelines/fulltext/75/section3.html http://www.sign.ac.uk/guidelines/fulltext/75/section3.html]. Accessed on: 16 September 2011.</ref> | |||
#Ultrasound features. | |||
#*Significant findings: multilocular cyst, solid component, bilateral lesions, ascites, suspected intra-abdominal metastases (one finding=1 point, two or more findings=4 points). | |||
#Menopause/pre-menopause status (menopausal=4 points, pre-menopausal=1 point). | |||
#CA-125 (blood test) in ''U/ml''. | |||
<math>RMI\ score = ultrasound\ score\ x\ menopausal\ score\ x\ CA125\ level\ [U/ml].</math> | |||
Interpretation: | |||
*RMI > 200 -- predicts malignancy. | |||
==Classification== | ==Classification== | ||