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Comparative Study
. 2009 Nov;280(5):767-73.
doi: 10.1007/s00404-009-1001-8. Epub 2009 Mar 5.

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

Theodoros D Theodoridis  1 , Leonidas Zepiridis, Themistoklis Mikos, Grigoris F Grimbizis, Konstantinos Dinas, Apostolos Athanasiadis, John N Bontis
Affiliations
Comparative Study

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

Theodoros D Theodoridis et al. Arch Gynecol Obstet. 2009 Nov.

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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References

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