Current diagnostic approach to patients with adnexal masses: which tools are relevant in routine praxis?

查看全文 作　　者：Milan M. [1,2]Terzic;Jelena [1]Dotlic;Ivana [1,2]Likic;Nebojsa [2,3]Ladjevic;Natasa [1]Brndusic;Nebojsa [4]Arsenovic;Sanja [5]Maricic;Tihomir [6]Mihailovic;Sasa [1]Andrijasevic 机构地区：[1]Clinic of Obstetrics and Gynecology, Clinical Center of Serbia;[2]School of Medicine, University of Belgrade;[3]Center for anesthesiology and resuscitation, Clinical Center of Serbia;[4]Department of Cellular Pathology, PathLinks Pathology Services, Lincoln County Hospital;[5]Occupational Health Department, General Health Center 'Savski Venac';[6]Department of Radiology, Ultramedica Clinic, American Medical Academy 出　　处：《Chinese Journal of Cancer Research》索引2013年第25卷第1期,共8页 基　　金：supported by Grant No 41021 from the Ministry of Science and Technological Development of the Republic of Serbia 摘　　要：Objective: The aim of the study was to investigate which anamnestic, laboratory and ultrasound parameters used in routine practice could predict the nature of adnexal mass, thus enabling referral to relevant specialist. Methods: Study involved the women treated for adnexal tumors throughout a period of 2 years. On admission, detailed anamnestic and laboratory data were obtained, expert ultrasound scan was performed, and power Doppler index (PDI), risk of malignancy index (RMI) and body mass index (BMI) were calculated for all patients. Obtained data were related to histopathological findings, and statistically analyzed. Results: The study included 689 women (112 malignant, 544 benignant, and 33 borderline tumors). Malignant and borderline tumors were more frequent in postmenopausal women (P=0.000). Women who had benignant tumors had the lowest BMI (P=0.000). There were significant (P<0.05) differences among tumor types regarding erythrocyte sedimentation rate, CA125 and carcinoembryonic antigen (CEA) levels. Among ultrasound findings, larger tumor diameter and ascites were more frequent in malignant tumors (P=0.000). Women with malignant tumors had highest values of RMI and PDI (P=0.000). Conclusions: Anamnestic data, ultrasound parameters and laboratory analyses were all found to be good discriminating factors among malignant, benignant and borderline tumors. 关 键 词：诊断方法 附件 患者 超声波扫描 肿瘤治疗 恶性肿瘤 实验室数据 工具