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The authors reported no conflict of interest.
Diagnostic performance of ultrasound in the assessment of disease extension in patients with suspected advanced ovarian cancer: comparison between ultrasound and laparoscopy.
A. Few data are available in the literature regarding the accuracy of ultrasound in detecting intraabdominal ovarian cancer spread and the estimation of the probability of optimal cytoreduction.
B. The results of ultrasound and laparoscopy in the assessment of intra-abdominal tumor spread were in substantial agreement for almost all the parameters.
C. This study could open up new strategies in the management of patients with advanced ovarian cancer. For example, ultrasound examination could be an alternative diagnostic tool to Computed Tomography (CT) scan for those patients allergic to contrast media. Imaging methods (ultrasound examination or CT scan) could be useful in the case of patients unsuitable for diagnostic surgery due to severe comorbidities or clear evidence of advanced unresectable disease, and to perform a biopsy for quick histological diagnosis and molecular profiling.