Δημοσίευση

Comparison of diagnostic accuracy of transvaginal ultrasound with laparoscopy in the management of patients with adnexal masses.

ΤίτλοςComparison of diagnostic accuracy of transvaginal ultrasound with laparoscopy in the management of patients with adnexal masses.
Publication TypeJournal Article
Year of Publication2009
AuthorsTheodoridis, T. D., Zepiridis L., Mikos T., Grimbizis G. F., Dinas K., Athanasiadis A., & Bontis J. N.
JournalArch Gynecol Obstet
Volume280
Issue5
Pagination767-73
Date Published2009 Nov
ISSN1432-0711
Λέξεις κλειδιάAdolescent, Adult, Female, Histocytochemistry, Humans, Laparoscopy, Middle Aged, Ovarian Cysts, Ovarian Neoplasms, Prospective Studies, Ultrasonography, Doppler, Color, Young Adult
Abstract

PURPOSE: The aims of this study was (a) to compare the diagnostic accuracy of ultrasound examination with laparoscopic findings and both with the gold standard (histology) in the management of benign ovarian lesions, and (b) to assess the feasibility of laparoscopy in their diagnosis and management.METHODS: Prospective, comparative study (Canadian Task Force Classification II-2). A total of 117 women 15-59 years old were examined at outpatient department and had transvaginal ultrasound assessment. Ninety-eight women (three postmenopausal) with 105 cystic ovarian lesions met inclusion criteria and underwent operative laparoscopy. Histology was performed in all cases.RESULTS: Although laparoscopy showed an overall higher performance compared to transvaginal ultrasound, statistically significant difference was found only in the detection of endometriomas compared to ultrasound (P = 0.004 for sensitivity and P = 0.046 for specificity).CONCLUSION: Laparoscopy exhibits higher diagnostic accuracy, especially in endometriomas, compared to transvaginal scan. Laparoscopic diagnosis appears to be safe and accurate. Conservative laparoscopic management of benign adnexal masses is safe and with low morbidity.

DOI10.1007/s00404-009-1001-8
Alternate JournalArch. Gynecol. Obstet.
PubMed ID19263064
PubMed Central IDPMC2751820

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