| Differential diagnosis of adnexal masses with transvaginal sonography, color flow imaging, and serum CA 125 assay in pre- and postmenopausal women. | |
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MedLine Citation:
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PMID: 8626120 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of the present study was to compare the diagnostic accuracy of transvaginal sonography, color flow imaging, and serum CA 125 assay in pre- and postmenopausal women undergoing laparotomy for a clinical diagnosis of an adnexal mass. In 109 consecutive women, the morphology of the mass was evaluated with transvaginal sonography, the pulsatility index (PI) was computed on the arteries detected with color flow imaging, and blood samples were obtained for CA125 assay. Descriptive statistics were performed for the whole series and according to the menopausal status. The diagnostic accuracy of transvaginal sonography was significantly higher in premenopause than in postmenopause (97 versus 85%, P<0.05). In premenopause, the three tests showed a similar diagnostic accuracy (85, 82, and 79%, respectively). In conclusion, the addition of further tests besides transvaginal sonography is not warranted in premenopausal women with an adnexal mass, but they seem to be useful in postmenopause. |
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Authors:
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F A Strigini; A Gadducci; B Del Bravo; M Ferdeghini; A R Genazzani |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Gynecologic oncology Volume: 61 ISSN: 0090-8258 ISO Abbreviation: Gynecol. Oncol. Publication Date: 1996 Apr |
Date Detail:
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Created Date: 1996-06-21 Completed Date: 1996-06-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0365304 Medline TA: Gynecol Oncol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 68-72 Citation Subset: IM |
Affiliation:
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Department of Gynecology and Obstetrics, University of Pisa, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adnexal Diseases
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blood,
surgery,
ultrasonography* Adolescent Adult Aged Aged, 80 and over CA-125 Antigen / blood* Diagnosis, Differential Female Genital Neoplasms, Female / blood, surgery, ultrasonography* Humans Laparotomy Middle Aged Postmenopause* Premenopause* Sensitivity and Specificity Ultrasonography, Doppler, Color* / methods Vagina |
| Chemical | |
Reg. No./Substance:
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0/CA-125 Antigen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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