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Application of Rose and Wright's algorithm in the diagnosis of lacrimal gland masses: a study of 93 cases.
Wang, Xiang-Ning; Qian, Jiang; Yuan, Yi-Fei; Zhang, Rui; Zhang, Yan-Qing.
Afiliación
  • Wang XN; Department of Ophthalmology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
  • Qian J; Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China. Electronic address: qianjiang58@hotmail.com.
  • Yuan YF; Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China.
  • Zhang R; Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China.
  • Zhang YQ; Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China.
Can J Ophthalmol ; 52(1): 30-33, 2017 Feb.
Article en En | MEDLINE | ID: mdl-28237145
OBJECTIVE: To investigate the application of Rose and Wright's algorithm in diagnosing lacrimal gland masses. DESIGN: Retrospective observational cases series. PARTICIPANTS: A total of 93 consecutive patients with primary masses within the orbital lobe of the lacrimal gland were reviewed. METHODS: Before treatment, patients' detailed history was collected verbally and all patients underwent image examination (computed tomography and magnetic resonance imaging). The clinical and radiological features of every patient were evaluated by experienced orbital surgeons. Based on Rose and Wright's criteria, patients were scored and then treated using surgery with radiotherapy and/or chemotherapy. The final diagnoses were based on the histopathologic results. Based on the histopathologic diagnosis, the data from Rose and Wright's algorithm were evaluated. RESULTS: The accuracy of Rose and Wright's algorithm for benign and malignant tumour diagnoses was 75% and 50%, respectively. The diagnostic sensitivity, specificity, and accuracy of Rose and Wright's algorithm were 64%, 93%, and 86%, respectively. The algorithm demonstrated significant accuracy in the clinicoradiological criterion in differentiating between benign tumours and malignant tumours (p < 0.05). CONCLUSIONS: Rose and Wright's algorithm has great advantages in distinguishing benign from malignant tumours within the orbital lobe of the lacrimal gland. However, the algorithm should be used with great caution because of its low diagnostic sensitivity for malignant tumours.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Algoritmos / Neoplasias del Ojo / Aparato Lagrimal / Enfermedades del Aparato Lagrimal Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Can J Ophthalmol Año: 2017 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Algoritmos / Neoplasias del Ojo / Aparato Lagrimal / Enfermedades del Aparato Lagrimal Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Can J Ophthalmol Año: 2017 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido