Presurgical cytologic diagnostic test of uterine cavity in ovarian malignant tumor
Abstract: There are several
methods for diagnosing ovarian carcinoma, such as gynecological examination,
ultrasonographic examination, and tumor marker examination. However, all these
combinations have not yielded high specificity antl sensitivity results. For
this reason, it is necessary to perform other examinations to enhance both
specificity and sensitivity, and one of them which is of interest to be studied
is cytological examination of uterine cavity. By cytological examination of
uterine cavity, it is hope that malignant cells originating from ovarian
malignant tumor can be found. Discovery of ovarian malignant cells is possible
because of peristaltic mechanism in the fallopian tube and negative pressure
from uterine cavity, that makes possible the transportation of ovarian
malignant cells into uterine cavity through the tube. The objective of this
study is to understand the sensitiviry and specificity of cytological examination
of uterine cavity in detecting ovarian malignancy. This stucty was a diagnostic
test with histological examination as the gold standard, to understand
sensitivity, specificity, positive prediction value, and negative prediction
value of cytological examination of uterine cavity. A total of 30 cases were
included in the study. A nurnber of factors enhanced positive results in
cytology of uterine cavity. Those factors were stage and ascites. The more
advanced the stage, the greater the positive results, and the presence of
ascites increased positive results. On diagnostic test, sensitivity of uterine
cavity cytology was 48%, specificity 60, positive predictive value 85.7%, and
negative predictive value 18.8% respectively. In conclusion, cytological examination
of uterine cavity could be used as one of the methods in assistirtg the
diagnosis of ovarian carcinoma.
Author: Andrijono, Isrin
Ilyas, Chairil Hamdani
Journal Code: jpkedokterangg050122
Artikel Terkait :
Jp Kedokteran gg 2005
- Treatment of taeniasis and cysticercosis with praziquantel and albendazole
- The benefits of progesterone therapy in imminent abortion
- PM10 as Predictor of Ventilation Efficiency of Houses in Relation to Health Effect
- Fatty acids intake among diverse ethnic groups in Indonesia
- The effects of balanced low calorie diet on body composition and serum leptin of obese women
- QT dispersion, a simple tool to predict ventricular tachyarrhythmias and/or sudden cardiac death after myocardial infarction
- Endoscopical appearances of nonsteroidal anti inflammatory drug (NSAID)- enteropathy
- Role of general practitioner in the management of acute myocardial infarction
- Genotyping of hepatitis B virus from dried and stored serum on filter paper
- Development of bioassay for pathogenecity testing of Ureaplasma urealyticum as part of host-pathogen communication
- Detection of GAD65 autoantibodies of type-1 diabetes using anti-GAD65-abs reagent produced from bovine brain tissue
- The use of ceftriaxone impregnated beads in the management of chronic osteomyelitis
- The correlation between total lymphocyte count and the number of candida colony from the oral cavity in HIV/AIDS patients
- Survival rate and prognostic factors in advanced cervical cancer patients accompanied by renal impairment
- Left ventricular diastolic dysfunction in type 2 diabetes mellitus patient without cardiovascular disease: the association with microalbuminuria
- Hormonal contraception as a risk factor for obesity
- Effect of irrigating fluid temperature on core body temperature during transurethral resection of the prostate
- T-lineage blast crisis of chronic myelogenous leukemia: simple record of 4 cases
- Intracranial germ cell tumour with extra cranial extension in a four month old infant – a case report
- Drospirinone: new generation of progestogen
- Implementation of 25-well culture plates for M. tuberculosis drug susceptibility testing in Indonesia
- Cytosolic estrogen and progesterone receptor content in the endometriotic tissues and endometrium in women with and without endometriosis
- Nutritional status of hyperlipidemics elderly in Indonesia according to body mass lndex (study in four Indonesian big cities)
- Age, duration of work, noise and vibration in inducing hearing and balance impairments