Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement

Levine, Deborah; Brown, Douglas L.; Andreotti, Rochelle F.; Benacerraf, Beryl R.; Benson, Carol B.; Brewster, Wendy R.; Coleman, Beverly G.; DePriest, Paul D.; Doubilet, Peter M.; Goldstein, Steven R.; Hamper, Ulrike M.; Hecht, Jonathan L.; Horrow, Mindy M.; Hur, Hye-Chun; Marnach, Mary L.; Patel, Maitray D.; Platt, Lawrence D.; Puscheck, Elizabeth E.; Smith‐Bindman, Rebecca

doi:10.1148/radiol.10100213

Cited by 312 publications

(232 citation statements)

References 72 publications

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“…Evidence from larger screening studies found a higher rate of resolution of unilocular cysts at 70%, with only complex cysts having an increased risk of malignancy 2 . Adnexal cysts 5 cm or smaller in postmenopausal women are rarely malignant [5][6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

“…The exact prevalence is unknown given the limited amount of published data and the lack of established screening programs for ovarian cancer. However, studies have estimated the incidence to be anywhere between 5% and 17% 1-4 and 60-70% of unilocular cyst resolved spontaneously [5][6][7][8] . In Bangladesh we do not have exact data for the incidence but postmenopausal women with cysts are diagnosed as routine USG or in a woman who complains of slight discomfort in lower abdomen for any reason.…”

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confidence: 99%

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Management of Postmenopausal Women with Simple Cyst

Nasreen¹

2017

Bangladesh J Obstet Gynaecol

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Introduction:Ovarian cysts in postmenopausal women are now known to be very common and maximum are not malignant. The exact prevalence is unknown given the limited amount of published data and the lack of established screening programs for ovarian cancer. However, studies have estimated the incidence to be anywhere between 5% and 17% 1-4 and 60-70% of unilocular cyst resolved spontaneously [5][6][7][8] . In Bangladesh we do not have exact data for the incidence but postmenopausal women with cysts are diagnosed as routine USG or in a woman who complains of slight discomfort in lower abdomen for any reason. Ovarian cancer remains the leading cause of death due to gynecological malignancy in many countries. Owing to very high mortality and severe morbidities, any postmenopausal woman is scared even with simple cyst. Before the era of USG if pelvic examination revealed palpable ovaries, those ovaries were removed. Now USG is able to detect cysts far before it becomes palpable and most of them are benign. Many women honor the ovaries and not happy to remove it. On the other hand once cysts are found in post menopausal women many women get frightened and request for the removal of cysts. So the gynecologist often faces the real challenge to treat Original Articles

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Management of Postmenopausal Women with Simple Cyst

Nasreen¹

2017

Bangladesh J Obstet Gynaecol

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“…In premenopausal women, ovarian cysts with uniform internal echoes, reticulations or septations may represent an endometriotic cyst or haemorrhagic cyst. A follow-up ultrasound should be performed after the next menstrual cycle or after one month [13]. A haemorrhagic cyst would resolve following the interval period, while an endometriotic cyst would persist or may even increase in size.…”

Section: Functional/ Haemorrhagic Cystsmentioning

confidence: 99%

An Algorithm Based Approach To Ovarian Neoplasms

Mathew¹

2016

IJARS

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Introduction: Cancer of the ovaries is the 2 nd most common gynaecological malignancy and has the highest mortality rate among all gynaecological malignancies with an overall 5 year survival rate of 46%. A large number of the lesions are incidentally detected, for which imaging plays a vital role in treatment planning by characterizing these masses. Identifying benign lesions accurately may obviate unnecessary surgery, where as indeterminate or malignant lesions will require surgery with or without radio/chemotherapy. Aim:To inform the readers the imaging patterns of common and rarely encountered ovarian neoplasms and to provide an algorithm based approach to these ovarian lesions, which will not only aid in the management of these conditions but also obviate unnecessary investigations and surgeries. Materials and Methods:This was a prospective study conducted over a period of one year from January 2014 to January 2015 at the Department of Radiology, Father Muller Medical College, Mangalore, India. Data were collected from 82 patients who presented with ovarian cystic lesions on ultrasound and were either followed up by USG or underwent further evaluation by CT. Diagnosis was confirmed by histopathology. Statistical analysis involved percentage frequency.

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“…Pored toga, patolog je detektovao jedan 20mm MASIVNI corpus albicans, osam ekstraovarijalnih jednostavnih cisti 1-8mm, i 77 intraovarijalnih veličine 1-4mm. Zaključeno je da su male (≤ 5 mm), benigne adneksalne ciste i mali, benigni, solidni tumori toliko česti kod žena u postmenopauzi da se njihovo prisustvo može smatrati normalnim [3].…”

Section: Wwwtmgorgrsunclassified

Differential diagnostics of abdominal tumours: Case report

Jović¹,

Narodović²,

Kero³

et al. 2015

Tim Med Glas

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*Rad sa 7. Konkursa za najbolji stručni ili naučno-istraživački rad iz oblasti medicine i stomatologije za mlade lekare članove SLD Sažetak:Uvod: Samo fizičke metode pregleda u vidu inspekcije, palpacije, perkusije i auskultacije nisu dovoljne za rano otkrivanje tumora abdomena, već je neophodna i primena savremenih radioloških metoda. Ovaj rad prikazuje pacijenta sa abdominalnim tumorom i objašnjava problem u diferenciranju porekla tumora i pored savremenih dijagnostičkih procedura. Prikaz slučaja: Osoba ženskog pola, starosti 60 godina, upućena je na odeljenje hirurgije zbog nadutosti stomaka, oslabljenog apetita i povremene gorušice. Tokom pregleda u abdomenu se uočava palpabilna tumefakcija veličine oko 15x15cm, jasno ograničena, čvrste konzistencije, subjektivno lake pokretljivosti u trbuhu. Abdomen iznad ravni grudnog koša, palpatorno tvrd, bolno neosetljiv. Nakon laboratorijskog ispitivanja koje je pokazalo porast leukocita (WBC 14,4) i značajan pad hemoglobina (hgb 67) i eritrocita (2,14), uz mirne tumorske markere CA 19-9 8,00; CEA 2,11, pacijentkinja je podvrgnuta ultrazvučnom ispitivanju gde je potvrđeno prisustvo heterogene, najvećim delom hipoehogene mase u abdomenu. S obzirom na to da ovom metodom nije bilo moguće diferenciranje porekla tumora, pacijentkinja je upućena na CT abdomena gde se potvrđuje prisustvo heterodenzne mekotkivne formacije u ventralnom delu trbuha, od visine bubrega do u malu karlicu, i postavlja se sumnja da je tumor genitalnog porekla zbog čega se pacijentkinja upućuje ginekologu. Ni ginekološkim pregledom nije bilo moguće utvrditi poreklo tumora pa se pristupilo izradi tumorskog markera CA-125 ne bi li se dokazalo eventualno poreklo tumora od genitalnih organa, tj. ovarijuma. Po nalazu imunohemije nivo CA-125 je 149 što je skoro četiri puta veće od normalnog nalaza. Nakon konsultacije anesteziologa zakazana je hirurška intervencija. Pacijentkinja je operisana u opštoj endotrahealnoj anesteziji, gde se eksploracijom trbuha konstatuje da je tumorska promena ovarijalnog porekla. Ex tempore patohistološki nalaz ukazuje na benignu promenu. Ovarijum sa pripadajućim tumorom odstranjen je u celosti. Pacijentkinja se uspešno oporavlja na odeljenju hirurgije uz adekvatnu terapiju i negu. Definitivnim histopatološkim nalazom utvrđeno je postojanje karcinoma jajnika. Zaključak: Uprkos savremenim dijagnostičkim metodama (rendgenska snimanja, ultrazvučni pregledi i CT) poreklo tumora je otkriveno hirurškom intervencijom. Pored edukacije stanovništva za što ranije javljanje svom lekaru pri pojavi prvih simptoma i znakova bolesti, neophodno je usavršavanje postojećih i otkrivanje novih metoda pregleda uz čiju pomoć ćemo lakše odlučiti da li pacijenta tretirati medikamentnom, radiološkom ili hemioterapijom, ili se, pak, treba odlučiti za operativne postupke. Ključne reči: abdominalni tumori, ovarijum, dijagnističke metode. Summery:Only physical methods of examination in the form of inspection, palpation, percussion and auscultation are not sufficient for the early detection of tumours of the...

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Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement

Cited by 312 publications

References 72 publications

Management of Postmenopausal Women with Simple Cyst

Management of Postmenopausal Women with Simple Cyst

An Algorithm Based Approach To Ovarian Neoplasms

Differential diagnostics of abdominal tumours: Case report

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