Online ISSN: 2515-8260

Keywords : ADNEX model

“Iota Adnex Model As A Predictive Tool For Risk Of Malignancy In Adnexalmasses”

Dr. Cherukuri Srinidhi; Dr. Shubhada S. Jajoo

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 3473-3483

Background :This prospective study will be conducted in the Department of Obstetrics &Gynaecology ,at Acharya Vinoba Bhave rural Hospital situated in Wardha District among 50 patients with adnexal mass . Detailed history and examination of the patients will be undertaken .Baseline data such as age , obstetric history ,menstrual history ,general examination,per abdomen examination and CA 125 level is collected .Transvaginal ultrasonography is done and mass is classified according to the grades based on the cut off value i.e 10%.The USG parameters include age,oncology center,maximal diameter of the lesion & largest solid part ,locules,papillations,acoustic shadow ,ascites,s.CA 125u/ml. Surgery will be planned for the respective grade tumor and specimen will be sent to histopathology. Aim-We aim to study the analyse diagnostic accuracy of IOTA - ADNEX model in detecting the risk of malignancy in ovarian carcinomas. Objectives-The objectives of the study is to make pre-operative diagnosis of adnexal masses before surgery and conserve the fertility by decreasing morbidity and mortality associated with adnexal pathology in menstruating women (in cases of borderline tumours and stage I cancer) with less aggressive management .
Methodology:This is a prospective study , will be conducted in Department of Obstetrics & Gynaecology , Acharya Vinoba Bhave Hospital of Wardha district in Central Maharashtra, over 50 patients India for 2 years from September 2020 to July 2022 with approval of IEC .This study will include females presenting with adnexal mass ,willing for Trans Vaginal Ultrasonography & take treatment.
Expected results:We expect from our study that the results of the IOTA –ADNEX model correlates with the histopathological report .
Conclusion:In conclusion ,IOTA-ADNEX model should be incorporated into the model for predicting the in-hospital mortality for ovarian malignancy .Considering its diagnostic accuracy might be relatively modest, further studies should validate the ultrasonography usefulness of adnexal masses.