Transabdominal ultrasound and its correlation with clinical findings in gynaecology

Ong, S.; Duffy, Thomas J.; Murphy, Jessica

doi:10.1007/bf02943087

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…12 CT detected fat in all cases similar to the reported incidence of 93% by Buy et al in 1989. 13 The incidence of metastatic tumor to ovaries is reported as 3-8% similar to the observed incidence of 6% in our study. The common primaries reported to metastasize to ovaries are GIT and breast malignancies.…”

Section: Specific Masses and Their Characteristics Ovarian Massessupporting

confidence: 90%

Gynaecological Pelvic Masses: A Clinical Challenge – Radiological Evaluation using Ultrasound and CT with Pathological Correlation

Sharma¹,

Kumar²,

Pandey³

et al. 2019

IJCMSR

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Introduction:The evaluation of the female pelvis is a radiological challenge due to the large consortium of differential diagnosis in terms of the origin of masses it houses. In the general population, the prevalence of adnexal lesions is 0.17%-5.9% in asymptomatic women and 7.1%-12% in symptomatic women. The radiological modalities used in evaluation are Ultrasonography,Computed Tomography and MRI. This study strives to demonstrate the role of USG and CT together in detecting the gynecological pelvic lesions,characterize them,evaluate the findings which can differentiate malignant and benign lesions and assess their diagnostic efficacy. Material and methods: This was a prospective study done in the Department of Radiology,RMCH,Bareilly, from November 2016-2018. All the patients of suspected pelvic mass in the age group 15-45 years in stipulated period fulfilling the inclusion criteria were enrolled for study. Results: Ovarian masses were most frequent (66%), followed by uterine (22%) and adnexal masses accounted for 12% of the cases. 38% of the ovarian masses were cystic, 36% were solid and rest 26% were mixed solid-cystic lesions. In uterine lesions, leiomyoma was found to be the commonest (45.5%). Conclusion: Of all pelvic gynecological masses,ovarian masses were the commonest.Transvaginal sonography and transabdominal sonography were very efficacious in diagnosis of gynecological masses and were diagnostic in 93.1% and 88% cases respectively. Computed tomography was diagnostic in 78% of cases.

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Section: Specific Masses and Their Characteristics Ovarian Massessupporting

confidence: 90%

Gynaecological Pelvic Masses: A Clinical Challenge – Radiological Evaluation using Ultrasound and CT with Pathological Correlation

Sharma¹,

Kumar²,

Pandey³

et al. 2019

IJCMSR

View full text Add to dashboard Cite

show abstract

“…34,35 Pelvic examination features such as nodularity or irregular contour, solid consistency, and fixed position suggest malignancy; however, studies evaluating the ability to distinguish benign from malignant disease by pelvic examination features from women with known adnexal masses awaiting surgery also report disappointing results. 36,37 Slightly higher positive predictive values are seen in the postmenopausal population of women 2,33 and in women with relevant symptoms, as delineated by the ovarian cancer symptom index. 21…”

Section: Pelvic Examinationmentioning

confidence: 95%

Management of the Adnexal Mass

Liu

Zanotti

2011

Obstetrics &Amp; Gynecology

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Adnexal masses are commonly encountered in gynecologic practice and often present both diagnostic and management challenges. This is partly because of the fact that the majority of adnexal masses that are identified represent benign entities that do not necessarily require active intervention, yet a small subset will represent malignant processes that require both timely and appropriate surgical intervention for optimal outcome. To determine the best diagnostic and management strategies in this setting, physicians must effectively triage risk for malignancy by having a thorough understanding of the entities on the differential diagnosis and carefully considering the clinical context for each individual patient. Optimal selection and interpretation of diagnostic tests are enhanced by both an accurate clinical risk assessment and an understanding of the inherent accuracy of diagnostic tests considered in this setting. The purpose of this document is to provide clinicians with a practical strategy for distinguishing benign and malignant masses in the nonpregnant woman. Our approach addresses the critical elements of accurate risk stratification, reviews the performance of diagnostic tests for identifying malignancy, and offers evidence-based management algorithms to optimize outcomes for women with adnexal masses.

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“…Ultrasound gives near perfect test performance when making such diagnoses (N’Gbesso et al. 1996; Ong et al. 1996; Fang et al.…”

Section: Methodsmentioning

confidence: 99%

Feasibility of an ultrasound service on district health care level in Botswana

Bussmann

Koen

Arhin‐Tenkorang³

et al. 2001

Tropical Med Int Health

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Summary OBJECTIVEOBJ ECTIVE To assess the clinical bene®t and ®nancial feasibility of an ultrasound service in a district hospital in Botswana.METHOD METHO D An ultrasound service was established in the study hospital. Clinical and ultrasound-aided diagnoses were compared in patients who met eligibility criteria laid down in an indication list. RESULTSRES ULTS We enrolled 2309 patients over 18 months. The most frequent indications for ultrasound were pregnancy-related diagnoses followed by gynaecological and hepato-biliary disorders. Ultrasound assistance improved case management in 696 cases (30%) and led to an immediate change in management in 151 patients. Ultrasound diagnosis was used as gold standard to assess the accuracy of the clinical diagnosis of incomplete abortion (sensitivity 24%; positive predictive value, PPV 66%), pelvic mass (sensitivity 53%; PPV 69%), ectopic pregnancy (sensitivity 75%; PPV 28%), and gall bladder stones (sensitivity 30%; PPV 32%).CONCLUSIONS CONCLUSIONS Ultrasound improved case management for a wide diversity of clinical problems encountered on district health care level. The service proved to be affordable for the Botswana health care system. keywords district health care, diagnostic ultrasound, quality of care, developing country, technology transfer correspondence Dr Hermann Bussmann, Botswana-Harvard Partnership for HIV Research and Education, P/Bag BO320

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Transabdominal ultrasound and its correlation with clinical findings in gynaecology

Cited by 3 publications

References 6 publications

Gynaecological Pelvic Masses: A Clinical Challenge – Radiological Evaluation using Ultrasound and CT with Pathological Correlation

Gynaecological Pelvic Masses: A Clinical Challenge – Radiological Evaluation using Ultrasound and CT with Pathological Correlation

Management of the Adnexal Mass

Feasibility of an ultrasound service on district health care level in Botswana

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