Ultrasound as a Diagnostic Tool for Preoperative Prediction of Adnexal Masses Nature

Dotlic J

doi:10.4172/2161-038x.1000118

Abstract

Proper oncological treatment of patients with adnexal masses depends on appropriate preoperative discrimination between benign and malignant ovarian tumors. There are suggestions that appropriate malignancy risk estimation could be achieved by ultrasound assessment of adnexal mass echomorfology by an experienced sonographer. Evaluating morphologic characteristics of the adnexal masses, in so called pattern recognition, features like presence of mixed consistency or multilocular components, septa or excrescence could differentiate benign from malignant neoplasms. Doppler examination of intratumoral blood flow velocity waveforms, with resistance and pulsatility indexes determination, raises confidence in achieving the correct diagnosis. Therefore, detailed ultrasonographic examination with Doppler scan should always be performed in all patients with adnexal masses. For more accurate preoperative triage calculation of RMI is advisable.

Highlights

Proper oncological treatment of patients with adnexal masses depends on appropriate preoperative discrimination between benignant and malignant ovarian tumors [1]
To improve diagnostic performance of ultrasound serum CA-125 test and menopausal status are added in algorithm of Risk of Malignancy Index (RMI)
A large multicentered study examined more than 50 variables, and logistic regression of 12 variables was used to calculate the risk of malignancy of adnexal masses [14]

Summary

Introduction

Proper oncological treatment of patients with adnexal masses depends on appropriate preoperative discrimination between benignant and malignant ovarian tumors [1]. There are suggestions that appropriate malignancy risk estimation could be achieved by ultrasound assessment of adnexal mass echomorfology by an experienced sonographer [1]. The greater use of transvaginal ultrasound scanning in everyday practice for the investigation of different gynecological symptoms and conditions leads to an increasing number of ovarian cysts and other tumors that come to the attention of gynecologists.

Results

Conclusion