Scoring system for prediction of ovarian endometriosis based on transvaginal color and pulsed Doppler sonography.
Fertil Steril
; 62(1): 81-8, 1994 Jul.
Article
en En
| MEDLINE
| ID: mdl-8005309
ABSTRACT
OBJECTIVE:
To develop a new noninvasive scoring system using clinical signs and symptoms, CA-125 levels, sonographic findings, and transvaginal color and pulsed Doppler parameters for preoperative recognition of ovarian endometriosis.DESIGN:
A 5-year prospective study in patients undergoing laparotomy and laparoscopy.SETTING:
Department of Obstetrics and Gynecology, University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia. PATIENTS Six hundred fifty-six benign and malignant adnexal masses, among which 103 were surgically proved to be ovarian endometriosis.INTERVENTIONS:
All patients undergoing laparotomy and laparoscopy were examined by transvaginal ultrasonography with color Doppler imaging. Serum levels of CA-125 were measured the day before surgery. MAIN OUTCOMEMEASURE:
The total score was applied in all patients with adnexal masses.RESULTS:
The scoring system proved to be very useful in distinguishing ovarian endometriosis from other benign and malignant ovarian lesions, with a sensitivity of 99.02% and a specificity of 99.64%, compared with morphological scoring system's sensitivity of 83.91% and specificity of 97.12%.CONCLUSION:
The new noninvasive scoring system improves significantly the ability to discriminate between endometriosis and other benign and malignant ovarian entities.
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Banco de datos:
MEDLINE
Asunto principal:
Enfermedades del Ovario
/
Ultrasonografía
/
Endometriosis
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Año:
1994
Tipo del documento:
Article