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Open Access 01-11-2009 | Original Article

Comparison of diagnostic accuracy of transvaginal ultrasound with laparoscopy in the management of patients with adnexal masses

Authors: Theodoros D. Theodoridis, Leonidas Zepiridis, Themistoklis Mikos, Grigoris F. Grimbizis, Konstantinos Dinas, Apostolos Athanasiadis, John N. Bontis

Published in: Archives of Gynecology and Obstetrics | Issue 5/2009

Abstract

Purpose

The aims of this study was (a) to compare the diagnostic accuracy of ultrasound examination with laparoscopic findings and both with the gold standard (histology) in the management of benign ovarian lesions, and (b) to assess the feasibility of laparoscopy in their diagnosis and management.

Methods

Prospective, comparative study (Canadian Task Force Classification II-2). A total of 117 women 15–59 years old were examined at outpatient department and had transvaginal ultrasound assessment. Ninety-eight women (three postmenopausal) with 105 cystic ovarian lesions met inclusion criteria and underwent operative laparoscopy. Histology was performed in all cases.

Results

Although laparoscopy showed an overall higher performance compared to transvaginal ultrasound, statistically significant difference was found only in the detection of endometriomas compared to ultrasound (P = 0.004 for sensitivity and P = 0.046 for specificity).

Conclusion

Laparoscopy exhibits higher diagnostic accuracy, especially in endometriomas, compared to transvaginal scan. Laparoscopic diagnosis appears to be safe and accurate. Conservative laparoscopic management of benign adnexal masses is safe and with low morbidity.

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Title: Comparison of diagnostic accuracy of transvaginal ultrasound with laparoscopy in the management of patients with adnexal masses
Authors: Theodoros D. Theodoridis
Leonidas Zepiridis
Themistoklis Mikos
Grigoris F. Grimbizis
Konstantinos Dinas
Apostolos Athanasiadis
John N. Bontis
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 5/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1001-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of diagnostic accuracy of transvaginal ultrasound with laparoscopy in the management of patients with adnexal masses

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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