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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2019, Number 05

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Ginecol Obstet Mex 2019; 87 (05)

Correlation between risk malignancy index Jacobs II and anatomopathological result in ovary tumors

Meléndez-González CV, Saldaña-Solórzano CF, Machorro-García EG, González-Habib R
Full text How to cite this article

Language: Spanish
References: 10
Page: 277-287
PDF size: 403.44 Kb.


Key words:

Ovarian tumor, Tumor marker, Ovarian Neoplasms, Biomarkers, Tumor.

ABSTRACT

Objective: To determine the correlation between the risk of malignancy index Jacobs II and anatomopathological result in ovarian tumors.
Materials and Methods: Observational, retrospective, prospective, analytical and transversal study of patients with a diagnosis of ovarian tumor with tumor marker of Ca 125 and the result of pathology admitted to the Christus Muguerza Conchita Hospital in Nuevo León during a 2-year period (2016-2018). Risk of malignancy index Jacobs II was calculated: IRM = U x M x Ca 125. Two groups were divided according to the results of histopathology (benign and malignant). For variables of central tendency, were compared with Student’s t-test adjusted to two-tailed normality (P ‹0.05). For categorical sampling, compared with the 2-tailed Fisher’s test to describe the differences between the groups or distribution χ2 (P ‹0.05). The sample was studied to observe risk / benefit factors (AUROC) as well as determination of the odds ratio, relative risk, sensitivity, specificity and creation of the logistic regression model of the indicators of interest.
Results:It was found that patients with a Jacobs II malignancy index higher than 155.22 (AUROC 0.95) were more likely to have a malignant lesion due to pathology with 88% sensitivity and 91% specificity.
Conclusion: There is a correlation between the risk index for malignancy of Jacobs II and the anatomopathological result in ovarian tumors.


REFERENCES

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  2. The American College of Obstetricians and Gynecologists. The Role of the Obstetrician-Gynecologist in the Early Detection of Epithelial Ovarian Cancer in Women at Average Risk. AGOC Committee Opinion. 2017;716(1): 1-4. doi: 10.1097/AOG.0000000000002299.

  3. The American College of Obstetricians and Gynecologists. Management of Adnexal Masses. AGOC Practice Bulletin, 2015; 83(2): 1-10. doi: 10.1097/01.AOG.0000263913.92942.40

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  8. Tien L, et al. Initial evaluation and referral guidelines for management of pelvic-ovarian masses. J Obstet Gynaecol Can. 2009;31(7): 668-73.

  9. Montalvo V y col. Abordaje diagnóstico y referencia del tumor pélvico con sospecha de malignidad. Catálogo maestro de guías de práctica clínica: IMSS-511-11. http://www.alabmed. com/uploadfile/2014/0126/20140126024320145. pdf

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Ginecol Obstet Mex. 2019;87