Ovarian Malignancy Probability Score (OMPS) for appropriate referral of adnexal masses.
BACKGROUND
Ovarian cancer is the most common cancer cause of gynecologic cancer deaths. In order to increase the likelihood of patient survival through primary operation by gyneco-oncologists, an appropriate algorithm for referral is considered here.


METHODS
Suspicious adnexal mass cases including ovarian malignancy probability score-1 (OMPS1) scores between 2.3-3.65 are re-evaluated by OMPS2. Sensitivity and specificity of each score were determined.


RESULTS
Sensitivity and specificity with a 3.82 score of OMPS2 in the studied subgroup (OMPS1 scores between 2.3-3.65) were 64% and 76.9% respectively.


CONCLUSIONS
Management of OMPS1 scores of below 2.3 with sensitivity of 100% and above 3.65 with specificity of 72.9% is clear. In the subgroup of cases with OMPS1 score between 2.3-3.65, OMPS2 is helpful for triage with a cutoff score of 3.82.
Department of Gynecology-Oncology, Shahid Beheshti University of Medical Sciences, Tehran, Iran E-mail : drmarab@yahoo.com.
Maliheh
M
Arab
Zahra
Z
Honarvar
Seyed-Mostafa
SM
Hosseini-Zijoud
D000291:Adnexal Diseases / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D000368:Aged; D000465:Algorithms; D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D007492:Iran; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D011336:Probability; D012017:Referral and Consultation / Q000592:standards* / Q000639:trends; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D014218:Triage