Impact of CT and Ultrasound on Ovarian Cancer Management
Author Information
Author(s): M.E. Gore, J.C. Cooke, E. Wiltshaw, J.M. Crow, D.O. Cosgrove, C.A. Parsons
Primary Institution: Royal Marsden Hospital
Hypothesis
Does computed tomography (CT) or ultrasonography (US) alter the management of patients with carcinoma of the ovary?
Conclusion
CT and US alter patient management in a minority of cases for patients with carcinoma of the ovary.
Supporting Evidence
- CT altered patient management in 18% of cases.
- US altered patient management in 10% of cases.
- Clinical assessment matched scan results 55% of the time.
- Management was altered on 40% of occasions when CT results differed from clinical assessments.
- Management was altered on 23% of occasions when US results differed from clinical assessments.
Takeaway
Doctors used CT and ultrasound to check on patients with ovarian cancer, but these scans only changed how doctors treated patients sometimes.
Methodology
A prospective study was conducted with 94 patients undergoing CT and US scans, comparing clinical assessments with scan results.
Limitations
The study may not apply to patients at initial presentation or those not on treatment.
Participant Demographics
Patients with a histological diagnosis of epithelial carcinoma of the ovary, staged according to FIGO.
Statistical Information
P-Value
P = 0.03
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