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SOUTH AFRICA Project Construction Management By Max Fajardo Pdf Free 67 ðüððúüäüÃÂÃÂÂîÃÂÂÃÂüÃÂÃÂÂëÃÂÂÃÂüÃÂÃÂÂÃÂÃÂÂ, Natal, South Africa.Incidental detection of ovarian malignant pathology using transvaginal ultrasound.
To evaluate the use of transvaginal ultrasound to detect ovarian malignant pathology and identify when the results of other investigations or previous history of similar findings should be integrated into treatment. We performed a retrospective study of the first 50 patients to have transvaginal ultrasound in our institution between April 2012 and April 2013. The main endpoint was the occurrence of malignant tumors, leading to the performance of surgery. The total number of patients was 48 (24 ovarian, 24 benign), the mean age was 47.7 years (range, 24-72 years). Among 24 patients with ovarian malignant pathology, we performed 16 abdominal explorations and 5 laparoscopies. Among 24 patients with benign pathology, we performed 17 abdominal explorations and 3 laparoscopies. The sensitivity of transvaginal ultrasound for the diagnosis of ovarian malignant pathology was 95%, and the specificity was 98%. When excluding tumors smaller than 10 cm, the sensitivity and the specificity of transvaginal ultrasound was 100%. When excluding tumors smaller than 10 cm, the sensitivity and the specificity of transvaginal ultrasound was 100%. The negative and positive predictive values were 100% and 95.8%, respectively. These data suggest that transvaginal ultrasound is highly accurate in the diagnosis of ovarian malignant pathology in the hands of an experienced operator and could be of great help in the screening of ovarian malignant pathology. It can be performed easily, and is not burdened by risks or limitations of access to the cavity, such as laparoscopy, is feasible.Arrow Rocks
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