Assessment of an Ultrasound-based Scoring System for Triaging Ovarian Tumors in Symptomatic Women 9 Assessment of an Ultrasound-based Scoring System for Triaging Ovarian Tumors in Symptomatic Women

Objective: To evaluate prospectively an ultrasound-based scoring system as a method for triaging symptomatic women presenting with an adnexal mass for surgical treatment. Methods: 151 symptomatic women scheduled for surgical treatment at our institution were included in this prospective study. Patients were evaluated by transvaginal power Doppler ultrasound prior to surgery. Patients were classified as low-risk or high-risk for malignancy according an ultrasound-based scoring system. Patients with low risk for malignancy were scheduled for laparoscopy and patients for high risk for malignancy were scheduled for laparotomy. Some patients with high-risk were scheduled for advanced oncologic laparoscopic surgery. Patients with low risk but tumor size> 10 cm were scheduled for laparotomy. Results: 82 women presented with pelvic pain, 8 had uterine bleeding