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| Transvaginal Sonographic Appearance of Cystic Adnexal Masses in Postmenopausal Women |
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| Hyeun Cha Cho Myung Sook Lee |
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| Department of Radiology, Samsung Cheil Hospital, Collage of Medicine, Sungkyunkwan University |
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| PURPOSE : To Analyze the transvaginal ultrasonographic(TVUS)findings of the cystic adnexal masses in postmenopausal
women for differentiation of benign and malignant masses.
MATERIALS and METHODS : We retrospectively reviewed the TVUS images of surgically proven 142 cystic adnexal
masses in 125 patients. The masses were classified according to the pathologic findings. The size, the internal echogenicity,
the internal septation, the external wall of the masses on US were analyzed and scored using
Multicenter scoring system. Serum CA-125 concentration was also recorded.
RESULTS : At surgery of 142 masses, 125 benign(88%), and 17 borderline/malignant masses(12%) were found.
Among 125 benign masses, 88 masses were larger than 5cm, 125 had smooth external wall, 109 had absence or
thin internal septation, and 107 had anechoic or homogenous low internal echogenicity. Of the 17
borderline/malignant masses, there were 17 masses larger than 5cm, 2 with smooth external wall, 12 without or
with thin internal septation, and 7 with anechoic or homogenous low internal echogenicity. Multicenter score
was below 8 in all benign masses, and in 4 borderline/malignant masses. Serum CA-125 concentration with normal
range was in 90 patients with benign masses, and in 2 patients with borderline/malignant masses.
CONCLUSION : Cystic adnexal masses with smooth external wall and internal septation, internal echogenic portion
less than 10%, score below 8 on TVUS would be diagnosed as benign masses in postmenopausal women with
normal serum CA-125 concentration. |
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| Keyword : Pelvic organs, neoplasms, Pelvic organs, US |
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pdf파일 : 283조현자.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2000 ; 19 (4) : p.283-289
