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Abdominopelvic computed tomography in the preoperative evaluation of suspected ovarian masses
  1. E. PETRU,
  2. F. SCHMIDT,
  3. P. MIKOSCH,
  4. H. PICKEL,
  7. N. GRÜENDLER and
  8. E. POSCH
  1. Department of Obstetrics and Gynecology and Department of Radiology, University of Graz, Graz, Austria
  1. Address for correspondence: Dr E. Petru, Department of Obstetrics and Gynecology, University of Graz, Auenbrugger-platz 14, A-8036 Graz, Austria.


To evaluate the efficacy of computed tomography (CT) in 175 patients scheduled to undergo surgery for a suspected ovarian mass, we compared preoperative CT findings with the findings at surgery and histology. At surgery, 115 patients were found to have epithelial ovarian malignancies (20 stage 1, 7 stage II, 50 stage III and 38 stage IV) while 60 had benign pelvic tumors. CT findings were suggestive of malignancy in 4 (7%) of 60 patients with benign tumors and suggestive of benign disease in 3 (3%) of 115 patients with malignant ovarian tumors; 30% of all scans were inconclusive. The sensitivity of CT for predicting pelvic or para-aortic lymph node involvement in 42 patients who underwent lymphadenectomy was 62 and 70%, respectively; the specificity was 100%. The results of this series suggest that the routine use of CT in the preoperative evaluation of patients does not seem justified.

  • computed tomography
  • histology
  • ovarian tumors
  • retroperitoneal lymph nodes

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