Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources

Bambara Augustin Tozoula; Ouedraogo Nina-Astrid; Atenguena Okobalemba Etienne; Dossou Odjoutchoni Fidele; Cisse Rabiou

doi:doi:10.11648/j.ijcocr.20230803.16

| Peer-Reviewed

Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources

Bambara Augustin Tozoula, Ouedraogo Nina-Astrid, Atenguena Okobalemba Etienne, Dossou Odjoutchoni Fidele, Cisse Rabiou

Published in International Journal of Clinical Oncology and Cancer Research (Volume 8, Issue 3)

Received: 28 August 2023 Accepted: 13 September 2023 Published: 25 September 2023

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Ovarian cancer is a public health problem in Burkina Faso. The objective of this study was to present the challenges of medical imaging in the diagnosis and monitoring of ovarian cancers in this context of countries with limited resources. This was a retrospective study carried out in the cancer department of the Yalgado Ouedraogo University Hospital in Ouagadougou. Patients in whom ovarian cancer was raised based on clinical, radiological and pathological arguments from January 2017 to December 2022 were included. The modalities, indications and results of the imaging examinations were analyzed. Fifty-two cases of ovarian cancer were identified. The medical imaging studies mentioned in the patients' files for the diagnosis and follow-up of ovarian tumours were CT scans (94.2%), ultrasound (57.7%), standard X-rays (42.3%) and MRI in eight cases. CT scans were performed as part of the preoperative work-up in 24 cases and postoperatively in 25 cases. The examination reports were not standardised; the writing style was free. The appearance of the lesion was mentioned in 14 cases (60.9%). No ultrasound report mentioned the use of the endovaginal route. The reports were not standardised; the writing style was free. The characteristics of the ovarian tumours were not mentioned in the ultrasound reports. Ovarian location was reported in 47% of cases and extension to other pelvic organs in 20%. Chest X-rays were prescribed in addition to abdomino-pelvic ultrasound or CT scans, when diagnosing or monitoring ovarian tumours. No preoperative laparoscopy was performed. The challenge of ovarian cancer imaging in a context of countries with limited resources lies in the efficient use of available imaging resources. Examination procedures and report writing should comply with good ovarian cancer imaging practice in order to optimise patient care.

Published in	International Journal of Clinical Oncology and Cancer Research (Volume 8, Issue 3)
DOI	10.11648/j.ijcocr.20230803.16
Page(s)	77-82
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Ovarian Cancer, Computed Tomography, Laparoscopy, Ultrasound, Surgery

References

[1]	Cancer today [Internet]. [cité 21 août 2023]. Disponible sur: http://gco.iarc.fr/today/home
[2]	Taïeb S, Amor MBH, Mailliez A, Adenis C, Leblanc É. Dépistage des cancers de l’ovaire: chez qui, comment et pour quelle efficacité? Imag Femme. 2016; 26 (2): 66-71.
[3]	Bekhouche A, Pottier E, Wahab CA, Milon A, Kermarrec É, Bazot M, et al. Nouvelles recommandations pour le bilan des masses annexielles indéterminées. Imag Femme. 2020; 30 (2): 39-79.
[4]	Classe JM, Guyon F, Falandry C, Devouassoux-Shisheboran M, Selle F, Joly F. Cancer de l’ovaire: Prise en charge pluridisciplinaire du cancer de l’ovaire en première ligne: Recommandations Saint-Paul-de-Vence 2016. Bull Cancer. 2017; 104: S6-15.
[5]	Montoriol PF, Bourgin C, Valla C, Bellini R, Merlin C, Kelly A, et al. Place de l’imagerie dans la prise en charge du cancer de l’ovaire. Med Nucléaire. 2016; 40 (3): 251-3.
[6]	Campbell S. Ovarian cancer: role of ultrasound in preoperative diagnosis and population screening. Ultrasound Obstet Gynecol. 2012; 40 (3): 245-54.
[7]	Cabasag CJ, Fagan PJ, Ferlay J, Vignat J, Laversanne M, Liu L, et al. Ovarian cancer today and tomorrow: A global assessment by world region and Human Development Index using GLOBOCAN 2020. Int J Cancer. 2022; 151 (9): 1535-41.
[8]	Bhatla N, Denny L. FIGO Cancer Report 2018. Int J Gynaecol Obstet. 2018; 143 (S2): 2-3.
[9]	Heudel PE, Selle F, Morice P, Rouzier R, Taieb S, Devouassoux-Shisheboran M, et al. Prise en charge initiale du cancer de l’ovaire avancé: quelles sont les informations radiologiques, anatomo-pathologiques et chirurgicales importantes pour une stratégie thérapeutique optimale? Bull Cancer. 2015; 102 (9): 772-9.
[10]	Boisselier A, Jalaguier-Coudray A, Mahjoub-Villard R, Thomassin-Naggara I. Classification O-RADS US et IRM. Imag Femme. 2020; 30 (4): 153-64.
[11]	Kadio K, Ouedraogo A, Kafando Y, Ridde V. Émergence et formulation d’un programme de solidarité pour affilier les plus pauvres à une assurance maladie au Burkina Faso. Sci Soc Sante 2017; 35 (2): 43-68.
[12]	Penny SM. Ovarian Cancer: An Overview. Radiol Technol. 2020; 91 (6): 561-75.
[13]	Fournier LS, Bennani S, Bensaid C, Seror J, Rousseau C, Lecuru F, et al. Carcinose péritonéale secondaire d’origine ovarienne. Imag Femme. 2015; 25 (3): 197-203.
[14]	Fischerova D, Burgetova A. Imaging techniques for the evaluation of ovarian cancer. Best Pract Res Clin Obstet Gynaecol. 2014; 28 (5): 697-720.
[15]	Thomassin-Naggara I, Daraï E, Lécuru F, Fournier L. Valeur diagnostique de l’imagerie (échographie, doppler, scanner, IRM et TEP-TDM) pour le diagnostic d’une masse ovarienne suspecte et le bilan d’extension d’un cancer de l’ovaire, des trompes ou péritonéal primitif. Gynecol Obstet Fertil Senol. 2019; 47 (2): 123-33.
[16]	Jungmann S, Kara M, Monnier-Cholley L, El Mouhadi S, Menu Y, Arrivé L. Évaluation de la qualité des comptes rendus radiologiques des examens tomodensitométriques d’évaluation oncologique. Bull Cancer. 2014; 101 (6): 554-7.
[17]	Andrieu PC, Nikolovski I, Juluru K, Sadowski E, Gangai N, Zheng J, et al. Synoptic Reporting for Pretreatment CT Examinations in Patients With Advanced Ovarian Cancer: Impact on Documentation of Disease Sites and Physician Satisfaction. AJR Am J Roentgenol [Internet]. 2023 [cité 16 août 2023]; Disponible sur: https://www.ajronline.org/doi/10.2214/AJR.23.29096
[18]	Revel MP. Diagnostic du nodule pulmonaire solitaire. Feuill. de Radiol. 2014; 54 (6): 349-68.
[19]	Nishino M. Tumor Response Assessment for Precision Cancer Therapy: Response Evaluation Criteria in Solid Tumors and Beyond. Am Soc Clin Oncol Educ Book. 23 mai 2018; 38: 1019-29.

Cite This Article

Plain Text BibTeX RIS

APA Style

Bambara Augustin Tozoula, Ouedraogo Nina-Astrid, Atenguena Okobalemba Etienne, Dossou Odjoutchoni Fidele, Cisse Rabiou. (2023). Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources. International Journal of Clinical Oncology and Cancer Research, 8(3), 77-82. https://doi.org/10.11648/j.ijcocr.20230803.16

Copy | Download

ACS Style

Bambara Augustin Tozoula; Ouedraogo Nina-Astrid; Atenguena Okobalemba Etienne; Dossou Odjoutchoni Fidele; Cisse Rabiou. Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources. Int. J. Clin. Oncol. Cancer Res. 2023, 8(3), 77-82. doi: 10.11648/j.ijcocr.20230803.16

Copy | Download

AMA Style

Bambara Augustin Tozoula, Ouedraogo Nina-Astrid, Atenguena Okobalemba Etienne, Dossou Odjoutchoni Fidele, Cisse Rabiou. Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources. Int J Clin Oncol Cancer Res. 2023;8(3):77-82. doi: 10.11648/j.ijcocr.20230803.16

Copy | Download

@article{10.11648/j.ijcocr.20230803.16,
  author = {Bambara Augustin Tozoula and Ouedraogo Nina-Astrid and Atenguena Okobalemba Etienne and Dossou Odjoutchoni Fidele and Cisse Rabiou},
  title = {Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources},
  journal = {International Journal of Clinical Oncology and Cancer Research},
  volume = {8},
  number = {3},
  pages = {77-82},
  doi = {10.11648/j.ijcocr.20230803.16},
  url = {https://doi.org/10.11648/j.ijcocr.20230803.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20230803.16},
  abstract = {Ovarian cancer is a public health problem in Burkina Faso. The objective of this study was to present the challenges of medical imaging in the diagnosis and monitoring of ovarian cancers in this context of countries with limited resources. This was a retrospective study carried out in the cancer department of the Yalgado Ouedraogo University Hospital in Ouagadougou. Patients in whom ovarian cancer was raised based on clinical, radiological and pathological arguments from January 2017 to December 2022 were included. The modalities, indications and results of the imaging examinations were analyzed. Fifty-two cases of ovarian cancer were identified. The medical imaging studies mentioned in the patients' files for the diagnosis and follow-up of ovarian tumours were CT scans (94.2%), ultrasound (57.7%), standard X-rays (42.3%) and MRI in eight cases. CT scans were performed as part of the preoperative work-up in 24 cases and postoperatively in 25 cases. The examination reports were not standardised; the writing style was free. The appearance of the lesion was mentioned in 14 cases (60.9%). No ultrasound report mentioned the use of the endovaginal route. The reports were not standardised; the writing style was free. The characteristics of the ovarian tumours were not mentioned in the ultrasound reports. Ovarian location was reported in 47% of cases and extension to other pelvic organs in 20%. Chest X-rays were prescribed in addition to abdomino-pelvic ultrasound or CT scans, when diagnosing or monitoring ovarian tumours. No preoperative laparoscopy was performed. The challenge of ovarian cancer imaging in a context of countries with limited resources lies in the efficient use of available imaging resources. Examination procedures and report writing should comply with good ovarian cancer imaging practice in order to optimise patient care.},
 year = {2023}
}

Copy | Download

TY - JOUR
T1 - Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources
AU - Bambara Augustin Tozoula
AU - Ouedraogo Nina-Astrid
AU - Atenguena Okobalemba Etienne
AU - Dossou Odjoutchoni Fidele
AU - Cisse Rabiou
Y1 - 2023/09/25
PY - 2023
N1 - https://doi.org/10.11648/j.ijcocr.20230803.16
DO - 10.11648/j.ijcocr.20230803.16
T2 - International Journal of Clinical Oncology and Cancer Research
JF - International Journal of Clinical Oncology and Cancer Research
JO - International Journal of Clinical Oncology and Cancer Research
SP - 77
EP - 82
PB - Science Publishing Group
SN - 2578-9511
UR - https://doi.org/10.11648/j.ijcocr.20230803.16
AB - Ovarian cancer is a public health problem in Burkina Faso. The objective of this study was to present the challenges of medical imaging in the diagnosis and monitoring of ovarian cancers in this context of countries with limited resources. This was a retrospective study carried out in the cancer department of the Yalgado Ouedraogo University Hospital in Ouagadougou. Patients in whom ovarian cancer was raised based on clinical, radiological and pathological arguments from January 2017 to December 2022 were included. The modalities, indications and results of the imaging examinations were analyzed. Fifty-two cases of ovarian cancer were identified. The medical imaging studies mentioned in the patients' files for the diagnosis and follow-up of ovarian tumours were CT scans (94.2%), ultrasound (57.7%), standard X-rays (42.3%) and MRI in eight cases. CT scans were performed as part of the preoperative work-up in 24 cases and postoperatively in 25 cases. The examination reports were not standardised; the writing style was free. The appearance of the lesion was mentioned in 14 cases (60.9%). No ultrasound report mentioned the use of the endovaginal route. The reports were not standardised; the writing style was free. The characteristics of the ovarian tumours were not mentioned in the ultrasound reports. Ovarian location was reported in 47% of cases and extension to other pelvic organs in 20%. Chest X-rays were prescribed in addition to abdomino-pelvic ultrasound or CT scans, when diagnosing or monitoring ovarian tumours. No preoperative laparoscopy was performed. The challenge of ovarian cancer imaging in a context of countries with limited resources lies in the efficient use of available imaging resources. Examination procedures and report writing should comply with good ovarian cancer imaging practice in order to optimise patient care.
VL - 8
IS - 3
ER -

Copy | Download

Author Information

Bambara Augustin Tozoula

Training and Research Unit in Health Sciences, Joseph Ki Zerbo University, Ouagadougou, Burkina Faso
Ouedraogo Nina-Astrid

Training and Research Unit in Health Sciences, Joseph Ki Zerbo University, Ouagadougou, Burkina Faso
Atenguena Okobalemba Etienne

Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
Dossou Odjoutchoni Fidele

Medical Imaging Department, Bogodogo University Hospital, Ouagadougou, Burkina Faso
Cisse Rabiou

Training and Research Unit in Health Sciences, Joseph Ki Zerbo University, Ouagadougou, Burkina Faso

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Bambara Augustin Tozoula, Ouedraogo Nina-Astrid, Atenguena Okobalemba Etienne, Dossou Odjoutchoni Fidele, Cisse Rabiou. (2023). Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources. International Journal of Clinical Oncology and Cancer Research, 8(3), 77-82. https://doi.org/10.11648/j.ijcocr.20230803.16

Copy | Download

ACS Style

Bambara Augustin Tozoula; Ouedraogo Nina-Astrid; Atenguena Okobalemba Etienne; Dossou Odjoutchoni Fidele; Cisse Rabiou. Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources. Int. J. Clin. Oncol. Cancer Res. 2023, 8(3), 77-82. doi: 10.11648/j.ijcocr.20230803.16

Copy | Download

AMA Style

Bambara Augustin Tozoula, Ouedraogo Nina-Astrid, Atenguena Okobalemba Etienne, Dossou Odjoutchoni Fidele, Cisse Rabiou. Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources. Int J Clin Oncol Cancer Res. 2023;8(3):77-82. doi: 10.11648/j.ijcocr.20230803.16

Copy | Download

@article{10.11648/j.ijcocr.20230803.16,
  author = {Bambara Augustin Tozoula and Ouedraogo Nina-Astrid and Atenguena Okobalemba Etienne and Dossou Odjoutchoni Fidele and Cisse Rabiou},
  title = {Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources},
  journal = {International Journal of Clinical Oncology and Cancer Research},
  volume = {8},
  number = {3},
  pages = {77-82},
  doi = {10.11648/j.ijcocr.20230803.16},
  url = {https://doi.org/10.11648/j.ijcocr.20230803.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20230803.16},
  abstract = {Ovarian cancer is a public health problem in Burkina Faso. The objective of this study was to present the challenges of medical imaging in the diagnosis and monitoring of ovarian cancers in this context of countries with limited resources. This was a retrospective study carried out in the cancer department of the Yalgado Ouedraogo University Hospital in Ouagadougou. Patients in whom ovarian cancer was raised based on clinical, radiological and pathological arguments from January 2017 to December 2022 were included. The modalities, indications and results of the imaging examinations were analyzed. Fifty-two cases of ovarian cancer were identified. The medical imaging studies mentioned in the patients' files for the diagnosis and follow-up of ovarian tumours were CT scans (94.2%), ultrasound (57.7%), standard X-rays (42.3%) and MRI in eight cases. CT scans were performed as part of the preoperative work-up in 24 cases and postoperatively in 25 cases. The examination reports were not standardised; the writing style was free. The appearance of the lesion was mentioned in 14 cases (60.9%). No ultrasound report mentioned the use of the endovaginal route. The reports were not standardised; the writing style was free. The characteristics of the ovarian tumours were not mentioned in the ultrasound reports. Ovarian location was reported in 47% of cases and extension to other pelvic organs in 20%. Chest X-rays were prescribed in addition to abdomino-pelvic ultrasound or CT scans, when diagnosing or monitoring ovarian tumours. No preoperative laparoscopy was performed. The challenge of ovarian cancer imaging in a context of countries with limited resources lies in the efficient use of available imaging resources. Examination procedures and report writing should comply with good ovarian cancer imaging practice in order to optimise patient care.},
 year = {2023}
}

Copy | Download