The role of endovaginal ultrasound in differentiating endometriomas from other ovarian cysts
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Abstract
Endometriomas have a prevalence of 24% among all ovarian cysts. Various
\nsonographic features have been proposed to identify endometriomas. Although the
\nvisualization of ovarian masses with low-level internal echoes is suggestive for
\nthe endometriotic origin of the cyst, no data are yet available on the
\nspecificity of endovaginal ultrasonography in differentiating endometriomas from
\nother ovarian masses. To address this issue, the sensitivity, specificity,
\nnegative and positive predictive values of endovaginal ultrasonography in
\ncomparison with pathology were calculated for each visualized cyst. The study
\npopulation (n = 251) consisted of all premenopausal non pregnant women submitted
\nto laparotomy or laparoscopy between May 1991 and March 1993 at the Department of
\nObstetrics and Gynecology of the University of Cagliari. Within one week before
\nsurgery, all patients underwent endovaginal ultrasonography and 93 ovarian cysts
\nwere visualized. After the scan, the physician gave prospective impressions as to
\nthe presence of endometriomas using the visualization of round-shaped homogeneous
\nhypoechoic "tissue" of low-level echoes within the ovary as characteristic
\nultrasonographic finding. Ultrasonographic impression was compared with
\nhistopathological diagnosis. Out of 93 adnexal masses detected by ultrasound, 31
\nwere suspected to be endometriomas and the diagnosis was confirmed in 24. The
\nsensitivity and the specificity of endovaginal ultrasonography in differentiating
\nendometriomas from other ovarian cysts were 83% and 89%, respectively. This
\nspecificity (89%) is comparable with that obtainable with magnetic resonance
\nimaging (91%).
\n
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- Efficacy and Safety of Long-Term Use of Dienogest in Women With Ovarian Endometrioma 2017
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- Laparoscopic excision of rectosigmoid endometriotic plaque and cul de sac obliteration in deeply infiltrating endometriosis: a case report 2016
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- Can anyone screen for deep infiltrating endometriosis with transvaginal ultrasound? 2014
- Advanced Stage Endometriosis in Adolescents and Young Women 2014
- Postoperative levonorgestrel‐releasing intrauterine system versus oral contraceptives after gonadotropin‐releasing hormone agonist treatment for preventing endometrioma recurrence 2013
- Endometrioma: Computed Tomography and Magnetic Resonance Imaging 2013
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- Endometrioma e infertilidad: revisión de alternativas terapéuticas 2011
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- Diagnostic accuracy of transvaginal ultrasound examination for assigning a specific diagnosis to adnexal masses 2009
- Endometriosis 2008
- Preterm birth, ovarian endometriomata, and assisted reproduction technologies 2008
- Endometriosis 2006
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- Valeurs diagnostiques de l’échographie et de l’IRM pour l’évaluation de l’endométriose pelvienne profonde 2005
- Removal of endometriomas before in vitro fertilization does not improve fertility outcomes: a matched, case–control study 2004
- Deep Pelvic Endometriosis: MR Imaging for Diagnosis and Prediction of Extension of Disease 2004
- Ultrasonographic Evaluation of Postoperative Ovarian Cyst Formation after Laparoscopic Excision of Endometriomas 2004
- Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis 2003
- Recurrence of endometriosis in women with bilateral adnexectomy (with or without total hysterectomy) who received hormone replacement therapy 2002
- Medical management of endometriosis 2000
- Diagnostic value of radiological tests in chronic pelvic pain 2000
- Chapter 5 Diagnosis of Endometriosis 1999
- Sonomorphology of endometriotic cysts 1998
- Reply 1997
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