RESUMEN
The intraoperative work up comprised examination under general anesthesia, confirmation of the site and origin of the tumor, staging of the clinically apparent malignant tumors, cytological study [peritoneal cytology, fine needle aspiration biopsy and cytological imprint] and histopathological examination. The results were recorded and statistically evaluated. Clinical, ultrasonographic, intraoperative, and cytological findings were evaluated in terms of sensitivity, specificity, positive predictive value, negative predictive value and accuracy to differentiate between benign and malignant ovarian neoplasms. Peritoneal cytology [PC], fine needle aspiration biopsy [FNA] and cytological imprint [CI], are good positive tests, but negative results does not exclude ovarian cancer. [CI], [FNA] and [PC] had an accuracy 90.90%, 87.87% and 84.84%, respectively. Clinical, ultrasonic intraoperative and cytological evaluation had specificity 73.91%, 76.19% 84.60% and 92.30% respectively. Specificity is more important than sensitivity in any diagnostic test for ovarian cancer. Certainly, histopathological examination differentiates between benign, borderline malignant and malignant ovarian neoplasms