PREDICTIVE VALUE OF PREOPERATIVE ULTRASONOGRAPHY AND SERUM CA-125 LEVELS FOR ENDOMETRIOSIS STAGE AND ADHESION SCORE

article OA: green CC0

Abstract

This study aimed to evaluate the predictive value of preoperative ultrasonographic assessment and serum CA-125 levels in estimating intraoperative endometriosis staging and adhesion scores in women diagnosed with endometriosis.Preoperative ultrasonographic evaluation and serum CA-125 measurements were performed in 152 women aged 21–45 years who presented to the gynecology and infertility outpatient clinic with complaints of pelvic pain, dysmenorrhea, or dyspareunia and were clinically suspected of having endometriosis. All patients underwent intraoperative staging of endometriosis. In appropriate cases, intraoperative tubal patency was assessed using methylene blue dye. The relationship between preoperative findings and intraoperative parameters was statistically analyzed.The mean age of the participants was 29.9 ± 6.91 years, and the mean serum CA-125 level was 59.92 ± 6.30 U/mL. A statistically significant correlation was found between preoperative CA-125 plasma concentration and both endometriosis stage and adhesion score. Similarly, a significant correlation was observed between the size of ultrasonographically detected lesions and both endometriosis stage and adhesion score. No significant association was found between tubal patency and preoperative CA-125 levels, ultrasonographic findings, or endometriosis stage. Demographic variables such as age, marital status, and number of pregnancies showed no significant correlation with endometriosis stage, adhesion severity, or serum CA-125 levels.Preoperative ultrasonographic evaluation and serum CA-125 levels are important predictive markers in patients with endometriosis. These parameters may guide surgical decision-making and operative planning, particularly in determining the surgical approach and the need for preoperative preparation. Special attention should be given to disease stage, lesion size, and adhesion score when planning surgical intervention.
Full text 2,242 characters · extracted from oa-doi-fallback · click to expand
PREDICTIVE VALUE OF PREOPERATIVE ULTRASONOGRAPHY AND SERUM CA-125 LEVELS FOR ENDOMETRIOSIS STAGE AND ADHESION SCORE Authors/Creators Description This study aimed to evaluate the predictive value of preoperative ultrasonographic assessment and serum CA-125 levels in estimating intraoperative endometriosis staging and adhesion scores in women diagnosed with endometriosis.Preoperative ultrasonographic evaluation and serum CA-125 measurements were performed in 152 women aged 21–45 years who presented to the gynecology and infertility outpatient clinic with complaints of pelvic pain, dysmenorrhea, or dyspareunia and were clinically suspected of having endometriosis. All patients underwent intraoperative staging of endometriosis. In appropriate cases, intraoperative tubal patency was assessed using methylene blue dye. The relationship between preoperative findings and intraoperative parameters was statistically analyzed.The mean age of the participants was 29.9 ± 6.91 years, and the mean serum CA-125 level was 59.92 ± 6.30 U/mL. A statistically significant correlation was found between preoperative CA-125 plasma concentration and both endometriosis stage and adhesion score. Similarly, a significant correlation was observed between the size of ultrasonographically detected lesions and both endometriosis stage and adhesion score. No significant association was found between tubal patency and preoperative CA-125 levels, ultrasonographic findings, or endometriosis stage. Demographic variables such as age, marital status, and number of pregnancies showed no significant correlation with endometriosis stage, adhesion severity, or serum CA-125 levels.Preoperative ultrasonographic evaluation and serum CA-125 levels are important predictive markers in patients with endometriosis. These parameters may guide surgical decision-making and operative planning, particularly in determining the surgical approach and the need for preoperative preparation. Special attention should be given to disease stage, lesion size, and adhesion score when planning surgical intervention. Files Gültekin KOÇUN.pdf Files (484.1 kB) | Name | Size | Download all | |---|---|---| | md5:dd94cce2a1aadc4c8d082994f79afecb | 484.1 kB | Preview Download |

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisdysmenorrheadyspareuniainfertility

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2025) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

openalex
last seen: 2026-05-10T10:56:08.120454+00:00
License: CC0 · commercial use OK