Ultrasound as a Diagnostic Tool for Preoperative Prediction of Adnexal Masses Nature

Proper oncological treatment of patients with adnexal masses depends on appropriate preoperative discrimination between benignant and malignant ovarian tumors. There are suggestions that appropriate malignancy risk estimation could be achieved by ultrasound assessment of adnexal mass echomorfology by an experienced sonographer. Evaluating morphologic characteristics of the adnexal masses, in so called pattern recognition, features like presence of mixed consistency or multilocular components, septa or excrescence could differentiate benign from malignant neoplasms. Doppler examination of intratumoral blood flow velocity waveforms, with resistance and pulsatility indexes determination, raises confidence in achieving the correct diagnosis. Therefore, detailed ultrasonographic examination with Doppler scan should always be performed in all patients with adnexal masses. For more accurate preoperative triage calculation of RMI is advisable. *Corresponding author: Milan M. Terzic, Ob/Gyn Clinic of Ob/Gyn, School of Medicine, University of Belgrade, Dr. Koste Todorovića 2611000 Belgrade, Serbia, Tel: +381 11 361 5592; Fax: +381 11 361 5603; E-mail: [email protected] Received February 05, 2013; Accepted April 19, 2013; Published April 30, 2013 Citation: Terzic M, Dotlic J (2013) Ultrasound as a Diagnostic Tool for Preoperative Prediction of Adnexal Masses Nature. Reprod Sys Sexual Disorders 2: 118. doi:10.4172/2161-038X.1000118 Copyright: © 2013 Terzic M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.