Preoperative ultrasound assessment of adnexal masses in premenopausal women

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Preoperative transvaginal ultrasound accurately predicted the histopathology of endometriomas (85%), mature teratomas (86%), and serous cystadenomas (80%) in premenopausal women undergoing adnexal mass removal.

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Abstract

OBJECTIVES: This study was undertaken to determine the accuracy of preoperative transvaginal ultrasound in predicting ovarian histopathology in premenopausal women. METHODS: A retrospective cohort study was performed from reproductive-age women that underwent removal of an ovarian cyst between May 1990 and April 1998. RESULTS: Of the 120 consecutive patients identified, 19 did not meet inclusion criteria. Pathologic diagnosis confirmed endometriomas (n = 55), mature teratoma (n = 25), serous cystadenoma (n = 18), persistent corpus luteum (n = 7) and other (n = 5). The primary preoperative transvaginal ultrasound impression was accurate in most cases (endometrioma: 85%, mature teratoma: 86%, serous cystadenoma: 80%). CONCLUSION: Endometriomas and mature cystic teratomas can be predicted with a moderate degree of accuracy by preoperative ultrasound.

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Condition tags

endometrioma

MeSH descriptors

Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adult Female Humans Ovarian Cysts Ovarian Cysts Premenopause Retrospective Studies Ultrasonography

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References (11)

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openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T20:59:07.345995+00:00
License: CC0 · commercial use OK