Ultrasound examination can be used to assess LN metastasis in gynecologic cancer. Although it had lower sensitivity, it had high specificity and NPP and almost the same PPV than CT and MRI which are widely used. It is widely available and of low coast. Patients are not exposed to any radiation nor contrast agents.• However, surgical LN examination is still required to determine the LN status due to the fact that a false negative diagnosis of a LN metastasis is of a bad prognosis for the patient.

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The recommended imaging technique for a suspected or accidentally discovered adnexal mass is pattern recognition of ovarian masses. Expert pattern recognition appeared to have the highest accuracy and therefore appears to be the preferred diagnostic approach; however, MRI has the highest sensitivity thus it can also be done in case there are limitations to perform ultrasound imaging.Research strategy-clinical trial study was used to carry out this research. This research strategy enabled the researcher to evaluate and establish the diagnostic radiological pattern recognition by ultrasound of ovarian masses.

Complete cytoreduction surgery followed by appropriate chemotherapy is a valuable option for advanced endometrial cancer. In patients with advanced endometrial cancer, complete cytoreduction with no gross residual disease is associated with superior overall survival outcome and free disease time. Also, patient with stage III endometroid endometrial cancer is associated with superior overall survival outcome and free disease time. Patient selection and accurate clinical staging are prerequisites when adopting upfront surgery strategies.The study was conducted on a group patients diagnosed to have advanced endometrial cancer FIGO stage III/IV attending at El Shatby maternity hospital from January 2020 to December 2021 to assess the effect of upfront surgery on the outcome of the disease. The patients will be diagnosed by D&C biopsy, US and CT. The procedure will be decided according to: Peritoneal cancer index and American society of anaesthesiologist (ASA) physical status. Then all the patients will receive routinely 6 cycles of chemotherapy and followed up for one year to asses recurrence, survival rate and other complication.

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