Simple adnexal cysts diagnosed by ultrasound in postmenopausal women

Andolf, Ellika; Jörgensen, Connie

doi:10.1002/jcu.1870160504

Cited by 37 publications

(1 citation statement)

References 8 publications

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“…Thus, the proportion of women having either simple or complex cysts is comparable with the findings made elsewhere and published in the literature. 18,20,23 However, large population screening trials have shown higher prevalence of ovarian cysts different in size compared to this study. 21,24 The below 3-cm diameter (which are more likely to be functional/physiological), para ovarian cysts (where the ovary could In this study, abnormal ovarian masses were commonly found among the women aged over 50 years (3.7%) and who had already attained menopause (3.6%).…”

Section: Discussioncontrasting

confidence: 54%

Prevalence of Abnormal Ovarian Masses/Cysts in Sri Lankan Women over 40 Years of Age

Gunathilake¹,

Kumarapeli²,

Kaluarachchi³

et al. 2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: For any unsuspecting woman, the finding of an ovarian cyst/mass that has the potential to be either malignant or end up in a cyst accident (torsion, rupture, or hemorrhage) and hence requires intervention, is of paramount importance. Based on ultrasound-guided explicit criteria, this study was aimed at determining the prevalence of abnormal ovarian masses, both malignant and benign, in the most vulnerable age group. Materials and methods: A community-based; descriptive cross-sectional study was conducted among 931 females aged over 40 years who were selected by probability proportionate to the cluster sampling technique. All the study participants underwent trans-abdominal ultrasound scanning. Married subjects were offered a subsequent transvaginal scan (TVS) if indicated. Results: The prevalence of abnormal ovarian masses based on ultrasound assessment was 2.9% [95% confidence interval (CI): 1.8-4.0]. Thirteen subjects (1.4%) had complex cysts between 3 and 5 cm diameter (95% CI: 0.8-2.3) and five (0.53%) had complex cysts larger than 5 cm (95% CI: 0.2%-1.2%). The prevalence of simple ovarian cysts exceeding 5 cm was 0.97% (95% CI: 0.5-1.8). Histopathological examination of abnormal ovarian masses that needed surgery revealed; endometrioma (n = 6), mature cystic teratoma (n = 1), mucinous cyst adenoma (n = 1), serous cyst adenoma (n = 1), and serous papillary cyst adenocarcinoma (n = 1). Conclusion: Abnormal ovarian cysts/masses were more prevalent among women aged above 50 years, and those who had attained menopause. Pelvic ultrasound assessment of women in their 50s belonging to potential high-risk groups can be recommended on an annual basis.

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Section: Discussioncontrasting

confidence: 54%

Prevalence of Abnormal Ovarian Masses/Cysts in Sri Lankan Women over 40 Years of Age

Gunathilake¹,

Kumarapeli²,

Kaluarachchi³

et al. 2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Diagnostic value of pelvic examination, ultrasound, and serum CA 125 in postmenopausal women with a pelvic mass. An international multicenter study

Schutter

Kenemans

Sohn

et al. 1994

Cancer

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Background. In a prospective study, the differential dignostic potential of peovic examination, ultrasound, and serum CA 125 assay in postmenopausal patients presenting with a pelvic mass was assessed. Methods. A total of 228 patients were evaluated preoperatively in an international, multicenter, prospective study using a standard protocol for pelvic examination, transvaginal (occasionally additional abdominal) ultra sound, and serum CA 125 determination with a cut‐off level of 35 U/ml. Results. Ninety‐five malignant (41.7%) and 127 benign (55.7%) pelvic tumors were found in addition to 6 borderline ovarian tumors (2. 6%) in the 228 patients. Seventy‐two patients had ovarian carcinoma, 49 of whom were International Federation of Gynecology and Obstetrics Stage III or IV. Borderline tumors were excluded from the statistical calculations. The individual accuracy of pelvic examination, ultrasound, and serum CA 125 in discriminating between benign and malignant pelvic masses was approximately the same (76, 74, and 77%, respectively). Using logistic regression analysis, the power of pelvic examination appeared to be the most relevant factor (adjusted odds ratio, 9. 2), followed by serum CA 125 (odds ratio, 5. 6), and ultrasound (odds ratio, 4. 9). Age appeared to be nonpredictive. No cancer was found in any patient in whom all three methods scored negative (n = 53; positive predictive value for malignancy = 0 and 95%; confidence interval, 0–7). Conclusions. The combined use of pelvic examination, ultrasound, and serum CA 125 leads to improved discrimination between malignant and benign pelvic masses, because malignancy can be excluded when all three examination methods are negative. A change to a more patient‐tailored surgical approach could be considered in those cases.

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Frequency and type of adnexal lesions in autopsy material from postmenopausal women: ultrasound study with histological correlation

Valentin

Skoog

Epstein

2003

Ultrasound in Obstet & Gyne

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Simple adnexal cysts diagnosed by ultrasound in postmenopausal women

Cited by 37 publications

References 8 publications

Prevalence of Abnormal Ovarian Masses/Cysts in Sri Lankan Women over 40 Years of Age

Prevalence of Abnormal Ovarian Masses/Cysts in Sri Lankan Women over 40 Years of Age

Diagnostic value of pelvic examination, ultrasound, and serum CA 125 in postmenopausal women with a pelvic mass. An international multicenter study

Frequency and type of adnexal lesions in autopsy material from postmenopausal women: ultrasound study with histological correlation

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