Preoperative evaluation of ovarian tumors in the premenopause by transvaginosonography

Osmers, R.; Osmers, M.; Maydell, Bernd von; Wagner, B; Kuhn, Walther

doi:10.1016/s0002-9378(96)70157-6

Cited by 76 publications

(69 citation statements)

References 13 publications

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“…ε 3 Les scores recommandés ne sont pas toujours reproductibles. Il n'existe que peu d'études prospectives permettant de les évaluer [22].…”

Section: Epaisseur De La Paroi Et Cloisonsunclassified

“…3.8 Une masse annexielle bénigne doit être recontrôlée échographiquement à 6 -9 semaines (en première phase du cycle chez la patiente pré-ménopausique) En pré-ménopause 89 % des kystes fonctionnels disparaissent [22]. En post-ménopause 37-40% des kystes uniloculaires mesurant 5 à 10 cm peuvent régresser en moins de deux mois [23,24] et 55 % des kystes complexes, définis comme étant multiloculaires et/ou solide de moins de 10 cm, peuvent aussi disparaître [24].…”

Section: Epaisseur De La Paroi Et Cloisonsunclassified

“…En post-ménopause 37-40% des kystes uniloculaires mesurant 5 à 10 cm peuvent régresser en moins de deux mois [23,24] et 55 % des kystes complexes, définis comme étant multiloculaires et/ou solide de moins de 10 cm, peuvent aussi disparaître [24]. ε 3 Si l'option d'attendre a été prise, il importe de répéter l'échographie à 6 -9 semaines [22], en première phase du cycle chez la patiente pré-méno-pausique ( fig. 1 et 2).…”

Section: Epaisseur De La Paroi Et Cloisonsunclassified

“…1 et 2). La persistance d'un kyste complexe augmente le risque de malignité indé-pendamment de tout score morphologique [22]. 3.9 Une masse annexielle probablement bénigne ou probablement maligne doit être évaluée par une laparoscopie Il est possible de traiter par laparoscopie des patientes présentant des masses annexielles à faible risque de cancer [59,60].…”

Section: Epaisseur De La Paroi Et Cloisonsunclassified

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Guide de pratique en cas de découverte d'une masse annexielle

2004

Schweiz Ärzteztg

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“…ε 3 Les scores recommandés ne sont pas toujours reproductibles. Il n'existe que peu d'études prospectives permettant de les évaluer [22].…”

Section: Epaisseur De La Paroi Et Cloisonsunclassified

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Guide de pratique en cas de découverte d'une masse annexielle

2004

Schweiz Ärzteztg

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“…From the series of Osmers et al, at a large centralized European site, it can be estimated that at least 50-60% of these will be functional. Among 1,072 premenopausal ovarian masses, 570 were functional cysts and corpus lutea, 264 were endometriotic cysts, 192 were benign neoplasms, and 46 malignancies [3]. …”

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Transvaginal ultrasound assessment of the premenopausal ovarian mass

Cohen

2007

J Assist Reprod Genet

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The evaluation of the premenopausal ovarian mass with transvaginal ultrasound and color Doppler is reviewed. Keywords Ovarian mass . Color Doppler . Ovarian cancer screeningIt is clear to anyone who practices infertility that the transvaginal probe has revolutionized our ability to examine the adnexa. The study by Padilla et al. clearly demonstrates the lack of sensitivity of bimanual examination in identifying both uterine as well as ovarian tumors [1]. In fact this sensitivity did not improve when medical students were compared to experienced attending gynecologists. As a consequence of screening asymptomatic premenopausal women, we have learned that cystic masses are not uncommon. Shulman et al. identified cystic masses greater than 2.5 cm in 13% of premenopausal women [2]. From the series of Osmers et al., at a large centralized European site, it can be estimated that at least 50-60% of these will be functional. Among 1,072 premenopausal ovarian masses, 570 were functional cysts and corpus lutea, 264 were endometriotic cysts, 192 were benign neoplasms, and 46 malignancies [3].

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Usefulness of repeat pelvic ultrasonography before surgery for benign ovarian mass

Lee

Kim

Lee

et al. 2018

Intl J Gynecology & Obste

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Objective To evaluate the results of repeat pelvic ultrasonography before surgery in patients with suspicion of benign ovarian tumor. Methods A retrospective study included premenopausal women who were scheduled to undergo surgery for a benign‐appearing ovarian mass and who had repeat ultrasonography on the day before surgery at Samsung Medical Center, Seoul, South Korea, between January 1, 2007, and December 31, 2011, to check for any change in the mass. Ultrasonography findings and final histology were evaluated by medical record review. Results Of 1854 women studied, regression of mass was detected before surgery for 27 patients, and 105 patients had histologically proven functional cysts; considered together, 132 patients had functional cysts, and the remaining 1722 women had benign ovarian tumors. Evaluation of the findings of initial ultrasonography revealed that mean size (P=0.008) and proportion of bilateral cysts (P<0.001) were lower in the presence of functional cysts than benign tumors. Additionally, an anechoic pattern was more common among regressed functional cysts than among histologically proven functional cysts (P<0.001). In total, 105 (5.7%) patients required surgery for a functional cyst despite repeat ultrasonography. Conclusion Repeating ultrasonography prior to surgery may have only a limited ability to prevent unnecessary surgeries for functional cysts.

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Preoperative evaluation of ovarian tumors in the premenopause by transvaginosonography

Cited by 76 publications

References 13 publications

Guide de pratique en cas de découverte d'une masse annexielle

Guide de pratique en cas de découverte d'une masse annexielle

Transvaginal ultrasound assessment of the premenopausal ovarian mass

Usefulness of repeat pelvic ultrasonography before surgery for benign ovarian mass

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