Abdominopelvic Computed TomographyEvaluation in Patients Undergoing Second‐Look Laparotomy for Ovarian Carcinoma
作者:
DEAN BRENNER,
MAX SHAFF,
HOWARD JONES,
WILLIAM GROSH,
F. GRECO,
LONNIE BURNETT,
期刊:
Obstetrics & Gynecology
(OVID Available online 1985)
卷期:
Volume 65,
issue 5
页码: 715-719
ISSN:0029-7844
年代: 1985
出版商: OVID
数据来源: OVID
摘要:
Preoperative abdominopelvic computed tomography results and operative findings were compared in 52 patients undergoing second-look laparotomy to confirm tumor status. Seventeen true-negative, 22 false-negative, and 13 true-positive scans were found. The sensitivity was 0.38, specificity was 1.0, and diagnostic accuracy was 0.58. Negative studies were associated with positive findings at laparotomy in 42% of all cases. Fourteen patients were identified who had computed tomography that would have enabled an attempt at the diagnosis of persistent cancer by computed tomography-directed needle aspiration or biopsy, thus avoiding laparotomy. Assuming 80% accuracy of needle aspiration, the cost of computed tomography in all 52 patients is considerably outweighed by the savings that could have been realized by eliminating the need for second-look surgery in these 11 women.
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