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What is the success of ultrasonography of benign adnexal masses?
Author(s) -
Bayoğlu Tekin Yeşim,
Suat Dede Faruk
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12208
Subject(s) - medicine , diagnostic accuracy , radiology , ultrasonography , adnexal diseases , echogenicity , logistic regression , laparoscopy
Aim To assess the diagnostic accuracy of the ultrasonographic discrimination of benign adnexal masses. Methods This was a prospective study, evaluating 245 consecutive cases using real‐time gray‐scale ultrasonography in a tertiary education hospital. Results Diagnostic accuracy was high for simple cysts and solid masses as κ‐values of 0.824 and 0.816 and accuracy was moderate for endometriomas, dermoid cysts and cystadenomas as κ‐values of 0.758, 0.689 and 0.627, respectively, and low for hemorrhagic cysts as a κ‐value of 0.587. A logistic regression model was developed using ultrasonographic characteristics of the adnexal masses. Irregularity at lining of the inner wall, presence of solid component, papillary projections and echogenicity were shown to have a strong impact on the diagnosis of benign masses. Conclusion Although ultrasonography is a useful technique for the diagnosis of benign adnexal masses, it is limited in diagnostic accuracy. Pattern recognition is the most favored method for ultrasonographic diagnosis. Logistic regression analysis can contribute to diagnostic accuracy.