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Dadun > Depósito Académico > Clínica Universidad de Navarra > Ginecología y Obstetricia > DA - CUN - Ginecología y Obstetricia - Artículos de revista >

Triage for surgical management of ovarian tumors in asymptomatic women: assessment of an ultrasound-based scoring system.
Autor(es) : 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.)
López-García, G. (Guillermo)
Palabras clave : Adnexal masses
Ultrasound
Fecha incorporación: 2008
Editorial : Wiley-Blackwell
Versión del editor: http://dx.doi.org/10.1002/uog.5401
ISSN: 0960-7692
Cita: 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
Resumen
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.
Enlace permanente: http://hdl.handle.net/10171/22893
Aparece en las colecciones: DA - Medicina - Ginecología y Obstetricia - Artículos de revista
DA - CUN - Ginecología y Obstetricia - Artículos de revista

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