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Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system.
Authors: Alcazar, J.L. (Juan Luis)
Royo, P. (Pedro)
Jurado, M. (M.)
Minguez, J.A. (J.A.)
Garcia-Manero, M. (Manuel)
Laparte, M.C. (María Carmen)
Galvan, R. (R.)
Lopez-Garcia, G. (Guillermo)
Keywords: Adnexal masses
Ultrasound
Issue Date: 2008
Publisher: Wiley-Blackwell
Publisher version: http://dx.doi.org/10.1002/uog.5401
ISSN: 0960-7692
Citation: Alcazar JL, Royo P, Jurado M, Minguez JA, Garcia-Manero M, Laparte C, et al. Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. Ultrasound Obstet Gynecol 2008 Aug;32(2):220-225
Abstract
OBJECTIVES: To prospectively evaluate an ultrasound-based scoring system as a method for triaging asymptomatic women presenting with an adnexal mass for surgical treatment. METHODS: Two hundred and four adnexal masses in 189 asymptomatic women undergoing elective surgical treatment at our institution were included in this prospective study. Patients were evaluated by transvaginal power Doppler ultrasound imaging before surgery. Patients were classified as low risk or high risk for malignancy according to an ultrasound-based scoring system. Women with a low risk for malignancy were scheduled for laparoscopy and patients with a high risk for malignancy were scheduled for laparotomy. However, patients classified as low risk by the ultrasound scoring system, but with a tumor size >or= 10 cm or clinical suspicion of pelvic adhesions, were instead considered to be at intermediate risk and were scheduled for laparotomy. Some patients classified as high risk were scheduled for an operative laparoscopy by an expert in gynecological oncology. RESULTS: One hundred and thirty-four (65.7%) masses were considered to be low risk and were treated by a laparoscopically guided procedure. All these tumors were benign. Forty-seven (23%) masses were classified as high risk, of which 39 tumors were malignant and eight benign. Twenty-three (11.3%) tumors were considered to be intermediate risk and were scheduled for primary laparotomy. In this group, 21 (91.3%) tumors proved to be benign and two (8.7%) were malignant. CONCLUSIONS: Ultrasound-based triage of asymptomatic women diagnosed with a persistent adnexal mass is effective for selecting the surgical approach.
Permanent link: http://hdl.handle.net/10171/22893
Appears in Collections:DA - Medicina - Ginecología y Obstetricia - Artículos de revista
DA - CUN - Ginecología y Obstetricia - Artículos de revista

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