Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system.
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 ins...
| Main Authors: | , , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | eng |
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Wiley-Blackwell
2012
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| Online Access: | https://hdl.handle.net/10171/22893 |
| _version_ | 1793399924893679616 |
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| author | Alcazar, J.L. (Juan Luis) Royo, P. (Pedro) Jurado, M. (Matías) Minguez, J.A. (J.A.) Garcia-Manero, M. (Manuel) Laparte, M.C. (María Carmen) Galvan, R. (R.) Lopez-Garcia, G. (Guillermo) |
| author_facet | Alcazar, J.L. (Juan Luis) Royo, P. (Pedro) Jurado, M. (Matías) Minguez, J.A. (J.A.) Garcia-Manero, M. (Manuel) Laparte, M.C. (María Carmen) Galvan, R. (R.) Lopez-Garcia, G. (Guillermo) |
| author_sort | Alcazar, J.L. (Juan Luis) |
| collection | DSpace |
| description | 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. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-22893 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2012 |
| publisher | Wiley-Blackwell |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-228932022-06-29T09:28:04Z Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. Alcazar, J.L. (Juan Luis) Royo, P. (Pedro) Jurado, M. (Matías) Minguez, J.A. (J.A.) Garcia-Manero, M. (Manuel) Laparte, M.C. (María Carmen) Galvan, R. (R.) Lopez-Garcia, G. (Guillermo) Adnexal masses Ultrasound 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. 2012-07-16T12:37:45Z 2012-07-16T12:37:45Z 2008 info:eu-repo/semantics/article https://hdl.handle.net/10171/22893 eng info:eu-repo/semantics/openAccess application/pdf Wiley-Blackwell |
| spellingShingle | Adnexal masses Ultrasound Alcazar, J.L. (Juan Luis) Royo, P. (Pedro) Jurado, M. (Matías) Minguez, J.A. (J.A.) Garcia-Manero, M. (Manuel) Laparte, M.C. (María Carmen) Galvan, R. (R.) Lopez-Garcia, G. (Guillermo) Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. |
| title | Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. |
| title_full | Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. |
| title_fullStr | Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. |
| title_full_unstemmed | Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. |
| title_short | Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. |
| title_sort | triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system. |
| topic | Adnexal masses Ultrasound |
| url | https://hdl.handle.net/10171/22893 |
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