2012, Number 3
Revista Cubana de Obstetricia y Ginecología 2012; 38 (3)
Clavijo RT, Lugones BM, Guevara AL, Berlán LN
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ABSTRACTIntroduction: the use of imaging techniques has shifted the focus on the management of many conditions in medicine.
Objective: to determine the value of ultrasound in the diagnosis of adnexal masses and to correlate it with pathologic findings.
Methods: a descriptive longitudinal study was performed to 92 women between 1 January 1st, 2008 to January 1st, 2010 with the diagnosis of adnexal masses by ultrasound. Patients were selected in consultation with the objective of getting information of different variables: size of adnexal masses, echogenicity, wall and contour thickness, vascularization with Doppler technique and correlation between sonographic and histopathologic diagnosis. The histological samples were processed from surgical specimens in the patients treated.
Results: benign and malignant tumors usually were more than 5 cm, 13.04 % and 23.9 % respectively, the complex appearance of adnexal masses dominated and there were malignant ovarian tumors in 20 patients (74.4 %), which contributed the largest percentage; regular contours predominated in benign ovarian tumors and pseudotumoral lesions whereas malignant tumors showed irregular contours (25 %). Malignant tumors showed increased center vascularization in 24 patients (88.8 % of cases).
Conclusions: the ultrasound studies of adnexal masses allow specifying the benign or malignant diagnosis. There is a high correlation between ultrasound and histological diagnosis.