ALİ BALOĞLU, LEYLANT OVA, UMUR YENSEL, NEŞE EKİNCİ
Gynecology Obstetrics & Reproductive Medicine - 2004;10(3):197-200
Objective: To evaluate the reliability of ultrasonography in benign-malign discrimination of adnexal masses and to investigate the results of transvaginal aspiration of ultrasonographically benign-appearing ovarian cysts. Study Design: Transvaginal ultrasonography was performed in 72 patients with adnexal masses and it's results were evaluated by Sassone Scoring system. Cyst aspiration with a transvaginal approach was performed in 67 patients with a score ?9 who were considered as having benign ovarian cysts. Transvaginal aspiration was repeated in cases with recurrence. SPSS 11.0 software was used for statistical analysis and analysis was performed with a Confidence Interval (CI) of 95%. A p value <0.05 was considered as statitically significant. Independent Samples T Test was used in comparisons of age, cyst diameter between two groups while chi-square test was used for comparison of cyst locations of the groups. Result: Recurrence was observed in 12 of 67 patients who underwent transvaginal cyst aspiration (17.9%) and 8 of these cases were endometriomas (66.6%). In discrimination of malign adnexal cysts from benign ones, transvaginal ultrasonography had a specifity of 98.5%, a sensitivity of 100% and a positive and a negative predictive value of 80% and 100%, respectively. No complications was observed. Conclusions: Benign and malign ovarian cysts can be successfully distinguished by ultrasonographic scoring system. High effectiveness and reducing the necessity for surgery seem to be reliable causes for more frequent utilization of transvaginal ultrasound guided aspiration of benign ovarian cysts.
