Proposta Para a Classificação Das Massas Anexiais: Gi-Rads Análise Crítica

Abstract

Brief Description of the Purpose of the ReportAnalyze the system GI-RADS based on prospective multicenter study of sonographic findings of 432 adnexal masses in 372 women aged between 13 and 78 years old, in a period of 36 months.Medical HistoryPatients were assessed with transvaginal ultrasound by 3 expert examiners. Classification of adnexal masses followed IOTA criteria for malignity as well benignity. It was suggested that the patients classified as GI-RADS 2 would have further clinical follow-ups, GI-RADS 3 would be referred to gynecological surgery and GI-RADS 4 and 5 would be referred to gynecologic oncology.DiagnosisOf the 432 tumors examined, 112 were classified as maligt and 320 benign as, with following GI-RADS percentage being obtained: 92 cases of GI-RADS 2 (21%), 184 cases of GI-RADS 3 (43%), 40 cases of GI-RADS 4 (9%) and 116 IG-RADS case of 5 (27%). The study showed sensitivity for malignancy of 99.1%, specificity of 85.9%, positive predictive value of 71.1% and negative predictive value of 99.6%.Discussion and Summary of the CaseThrough the study, GI-RADS was found to be a great communication system with unification of language in adnexal masses with high risk of malignancy, proving to be very useful for clinical decision. Brief Description of the Purpose of the ReportAnalyze the system GI-RADS based on prospective multicenter study of sonographic findings of 432 adnexal masses in 372 women aged between 13 and 78 years old, in a period of 36 months. Analyze the system GI-RADS based on prospective multicenter study of sonographic findings of 432 adnexal masses in 372 women aged between 13 and 78 years old, in a period of 36 months. Medical HistoryPatients were assessed with transvaginal ultrasound by 3 expert examiners. Classification of adnexal masses followed IOTA criteria for malignity as well benignity. It was suggested that the patients classified as GI-RADS 2 would have further clinical follow-ups, GI-RADS 3 would be referred to gynecological surgery and GI-RADS 4 and 5 would be referred to gynecologic oncology. Patients were assessed with transvaginal ultrasound by 3 expert examiners. Classification of adnexal masses followed IOTA criteria for malignity as well benignity. It was suggested that the patients classified as GI-RADS 2 would have further clinical follow-ups, GI-RADS 3 would be referred to gynecological surgery and GI-RADS 4 and 5 would be referred to gynecologic oncology. DiagnosisOf the 432 tumors examined, 112 were classified as maligt and 320 benign as, with following GI-RADS percentage being obtained: 92 cases of GI-RADS 2 (21%), 184 cases of GI-RADS 3 (43%), 40 cases of GI-RADS 4 (9%) and 116 IG-RADS case of 5 (27%). The study showed sensitivity for malignancy of 99.1%, specificity of 85.9%, positive predictive value of 71.1% and negative predictive value of 99.6%. Of the 432 tumors examined, 112 were classified as maligt and 320 benign as, with following GI-RADS percentage being obtained: 92 cases of GI-RADS 2 (21%), 184 cases of GI-RADS 3 (43%), 40 cases of GI-RADS 4 (9%) and 116 IG-RADS case of 5 (27%). The study showed sensitivity for malignancy of 99.1%, specificity of 85.9%, positive predictive value of 71.1% and negative predictive value of 99.6%. Discussion and Summary of the CaseThrough the study, GI-RADS was found to be a great communication system with unification of language in adnexal masses with high risk of malignancy, proving to be very useful for clinical decision. Through the study, GI-RADS was found to be a great communication system with unification of language in adnexal masses with high risk of malignancy, proving to be very useful for clinical decision.