THE ROLE OF MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF GYNAECOLOGIC PELVIC TUMOURS

El-Gharib MN, Dawoud MA, Mashally EM, Ahwal HS
In: The Egyptian Journal of Fertility of Sterility · 2008 · vol. 12(1) , pp. 33–42 · doi:10.21608/egyfs.2008.4872 · W2781878658
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This study evaluated magnetic resonance imaging's diagnostic specificity for gynecologic pelvic tumors, finding it 100% specific for uterine fibromyomata and adenomyosis and superior to ultrasound for staging endometrial carcinoma and differentiating benign from malignant ovarian tumors.

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Abstract

Objective : To assess the role of magnetic resonance imaging in the diagnosis of gynaecological pelvic tumours.Design: Prospective study.Setting : Tanta University Hospitals .Patients : The study included 49 women diagnosed clinically as having pelvic tumours.Intervention: All the patients were subjected to history laking, physical examination, transabdominal and/ortransvaginal ultrasound, pelvic MRI and pathological examination of the specimens.Outcome measures: Specificity of MRI in diagnosis of gynecologic pelvic tumours.Results: We found that the specificity of MRI in the diagnosis of uterine fibromyomata and adenomyosis was 100%. Incases of malignant uterine tumours, we found that MR was the imaging modality of choice in crarly diagnosis andstaging of cndomctrial carcinoma as it exhibits if there is myometrial invasion or not. Ultrasound was false negative in40% of cndomctrial carcinoma. Both ultrasound and MRI were equivocal in diagnosis of benign ovarian lesions, butMRI was superior to ultrasound in diagnosis of benign cxtraovarian lesions. MRI succeeded in diagnosis of thepathological pattern of benign ovarian lesions and in the discrimination between benign and malignant ovarian tumours.Conclusion: MR imaging is a valuable modality in the evaluation of female pelvic tumours when the sonographicdiagnosis is nonspecific.

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