Abstract
Purpose: To evaluate the reliability of ultrasound scan (US) findings in the preoperative assessment of the nature of adnexal masses infernales. Methods: After detailed history, a preoperative US examination was performed in all women. Tumor diameter, localization, the presence of solid, cystic and multilocular components, excrescences, metastasis and free fluid were assessed. Doppler scan was done and pulsatility (PI) and resistance indices (RI) were determined. These data were compared with postoperatively obtained histopathological findings and statistically analyzed. Results: The study included 609 women out of which 20.7% had malignant, 73.7% benign, and 5.6% borderline tumors. Patients with malignant tumors were oldest (p<0.001). There were significantly more positive US parameters in malignant than in benign tumors (p<0.001). Also, there were significant differences (p<0.001) between malignant, benign and borderline tumors regarding all examined US and Doppler parameters except tumor multilocularity. RI had sensitivity 75%, specificity 61.2%, positive predictive value (PPV) 42.70% and negative predictive value (NPV) 96.16%. PI had sensitivity 50%, specificity 35.3%, PPV 8.37% and NPV 25.93%. Sensitivity of US characteristics was 94.34%, specificity 30.62%, PPV 22.27% and NPV 96.25%. Conclusions: US pattern characteristics and Doppler parameters were found to be moderately reliable in discriminating malignant, benign and borderline adnexal tumors. Tumor of solid or mixed consistency, presence of ascites and excrescences were the best predictors of malignancy.
| Original language | English |
|---|---|
| Pages (from-to) | 862-869 |
| Number of pages | 8 |
| Journal | Journal of B.U.ON. |
| Volume | 20 |
| Issue number | 3 |
| Publication status | Published - Jan 1 2015 |
| Externally published | Yes |
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Keywords
- Adnexal masses
- Doppler
- Malignancy
- Ultrasound
- Ultrasound pattern recognition
ASJC Scopus subject areas
- Hematology
- Oncology
- Radiology Nuclear Medicine and imaging
- Cancer Research
Cite this
Utilization of ultrasound as a diagnostic tool in the preoperative assessment of patients with adnexal masses. / Terzic, Milan; Dotlic, Jelena; Bila, Jovan; Pilic, Igor; Nikolic, Branka; Kocijancic, Dusica; Likic, Ivana; Arsenovic, Nebojsa; Mihailovic, Tihomir; Bugarski, Diana.
In: Journal of B.U.ON., Vol. 20, No. 3, 01.01.2015, p. 862-869.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Utilization of ultrasound as a diagnostic tool in the preoperative assessment of patients with adnexal masses
AU - Terzic, Milan
AU - Dotlic, Jelena
AU - Bila, Jovan
AU - Pilic, Igor
AU - Nikolic, Branka
AU - Kocijancic, Dusica
AU - Likic, Ivana
AU - Arsenovic, Nebojsa
AU - Mihailovic, Tihomir
AU - Bugarski, Diana
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Purpose: To evaluate the reliability of ultrasound scan (US) findings in the preoperative assessment of the nature of adnexal masses infernales. Methods: After detailed history, a preoperative US examination was performed in all women. Tumor diameter, localization, the presence of solid, cystic and multilocular components, excrescences, metastasis and free fluid were assessed. Doppler scan was done and pulsatility (PI) and resistance indices (RI) were determined. These data were compared with postoperatively obtained histopathological findings and statistically analyzed. Results: The study included 609 women out of which 20.7% had malignant, 73.7% benign, and 5.6% borderline tumors. Patients with malignant tumors were oldest (p<0.001). There were significantly more positive US parameters in malignant than in benign tumors (p<0.001). Also, there were significant differences (p<0.001) between malignant, benign and borderline tumors regarding all examined US and Doppler parameters except tumor multilocularity. RI had sensitivity 75%, specificity 61.2%, positive predictive value (PPV) 42.70% and negative predictive value (NPV) 96.16%. PI had sensitivity 50%, specificity 35.3%, PPV 8.37% and NPV 25.93%. Sensitivity of US characteristics was 94.34%, specificity 30.62%, PPV 22.27% and NPV 96.25%. Conclusions: US pattern characteristics and Doppler parameters were found to be moderately reliable in discriminating malignant, benign and borderline adnexal tumors. Tumor of solid or mixed consistency, presence of ascites and excrescences were the best predictors of malignancy.
AB - Purpose: To evaluate the reliability of ultrasound scan (US) findings in the preoperative assessment of the nature of adnexal masses infernales. Methods: After detailed history, a preoperative US examination was performed in all women. Tumor diameter, localization, the presence of solid, cystic and multilocular components, excrescences, metastasis and free fluid were assessed. Doppler scan was done and pulsatility (PI) and resistance indices (RI) were determined. These data were compared with postoperatively obtained histopathological findings and statistically analyzed. Results: The study included 609 women out of which 20.7% had malignant, 73.7% benign, and 5.6% borderline tumors. Patients with malignant tumors were oldest (p<0.001). There were significantly more positive US parameters in malignant than in benign tumors (p<0.001). Also, there were significant differences (p<0.001) between malignant, benign and borderline tumors regarding all examined US and Doppler parameters except tumor multilocularity. RI had sensitivity 75%, specificity 61.2%, positive predictive value (PPV) 42.70% and negative predictive value (NPV) 96.16%. PI had sensitivity 50%, specificity 35.3%, PPV 8.37% and NPV 25.93%. Sensitivity of US characteristics was 94.34%, specificity 30.62%, PPV 22.27% and NPV 96.25%. Conclusions: US pattern characteristics and Doppler parameters were found to be moderately reliable in discriminating malignant, benign and borderline adnexal tumors. Tumor of solid or mixed consistency, presence of ascites and excrescences were the best predictors of malignancy.
KW - Adnexal masses
KW - Doppler
KW - Malignancy
KW - Ultrasound
KW - Ultrasound pattern recognition
UR - http://www.scopus.com/inward/record.url?scp=84938709396&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938709396&partnerID=8YFLogxK
M3 - Article
VL - 20
SP - 862
EP - 869
JO - Journal of B.U.ON.
JF - Journal of B.U.ON.
SN - 1107-0625
IS - 3
ER -