Intraoperative laparoscopic sonography for improved preoperative sonographic pathologic characterization of adnexal masses

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
W T YangC Metreweli

Abstract

This study compares the diagnostic accuracy of laparoscopic sonography and transvaginal sonography in the evaluation of adnexal masses. Fifty-eight women underwent transvaginal sonography, which showed 69 adnexal masses, and laparoscopic ultrasonography, which showed 68 adnexal lesions. Conventional gray-scale ultrasonography (using transvaginal sonography and laparoscopic ultrasonography) was performed with morphologic characterization of internal architecture, followed by color Doppler imaging with spectral Doppler analysis where possible. A specific diagnosis was obtained with transvaginal sonography and laparoscopic ultrasonography based on a combination of imaging features. The specific diagnosis obtained with each imaging modality was compared with the final histologic diagnosis as the gold standard in 57 patients with 68 adnexal masses who underwent cystectomy or oophorectomy. The ability of laparoscopic sonography to detect the contralateral ovary and any residual ovarian tissue in the presence of a mass was also compared with transvaginal sonography. The accuracy of laparoscopic ultrasonography in the characterization of adnexal masses was 83.8% and that of transvaginal sonography was 73.5% (P < 0.05). Laparoscopic son...Continue Reading

Citations

Jun 25, 2005·Current Opinion in Obstetrics & Gynecology·Amy Criniti, Paul C Lin
Mar 16, 2001·Journal of Endourology·S F Matin, I S Gill
Sep 10, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Antonio Simone LaganàFabio Ghezzi
Mar 19, 2005·Gynecologic and Obstetric Investigation·Volkan NoyanHaldun Guner
Feb 9, 2021·Future Science OA·Karen GrewalJoseph Yazbek

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