Transvaginal Sonographic Characterization of Ovarian Disease: Evaluation of a New Scoring System to Predict Ovarian Malignancy
Transvaginal Sonographic Characterization of Ovarian Disease: Evaluation of a New Scoring System to Predict Ovarian Malignancy
复制标题
卵巢疾病的经阴道超声表征：预测卵巢恶性肿瘤的新评分系统的评估
作者：
A. Sassone;I. Timor;Attila Artner;C. Westhoff;W. Warren
随着高频经阴道超声的出现，为更好地确定卵巢病变提供了新的机会。这项研究的目标是开发一种使用经阴道超声表征盆腔/卵巢病变的评分系统。我们的目的是最大限度地区分良恶性实体。143例患者的经阴道盆腔超声图像与手术或组织病理学结果相对照。在281个卵巢中，良性病变108个(子宫内膜异位症30个，畸胎瘤24个，单纯性囊肿21个，其他异常33个)，恶性肿瘤20个。该评分系统对良、恶性肿块的鉴别诊断价值较高，其特异度为83%，灵敏度为100%，阳性预测值为37%，阴性预测值为100%。这种评分方法的进一步经验和改进应该会最大限度地利用高分辨率经阴道超声检查卵巢病变。
With the advent of high-frequency transvaginal ultrasonography, new opportunities are presented to better define ovarian lesions. The goal of this study was to develop a scoring system using transvaginal sonographic characterization of pelvic/ovarian lesions. Our purpose was to maximize the discrimination between benign and malignant entities. Transvaginal sonographic pelvic images of 143 patients were correlated with surgical findings or histopathology. Of 281 ovaries, 108 had benign lesions (30 endometriomas, 24 teratomas, 21 simple cysts, and 33 other abnormalities) and 20 had malignancies. The scoring system devised was useful in distinguishing benign from malignant masses, with a specificity of 83%, sensitivity of 100%, and positive and negative predictive values of 37 and 100%, respectively. Further experience and refinements of this method of scoring should maximize the benefit of high-resolution transvaginal sonography of ovarian lesions