Adnexal Mass Risk Prediction Models

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Morphological score (ultrasonography) and Berlanda index

Inner wall structure
Septa
Vegetations
Echogenicity
Tumor diameter ��� 10cm
Presence of ascites
Doppler mode (resistance index): RI���0,6
CA125 ���35 (IU/ml):
References:
1. Ferrazzi E, Zanetta G, Dordoni D et al. Transvaginal ultrasonographic characterization of ovarian masses: comparison of five scoring systems in a multicenter study. Ultrasound Obstet Gynecol 1997; 10: 192-197.
2. Berlanda N, Ferrari MM, Mezzopane R et al. Impact of a multiparameter, ultrasound-based triage on surgical management of adnexal masses. Ultrasound Obstet Gynecol 2002; 20: 181-185.
Important!
One must be very careful when examining the patient with adnexal mass.
Sometimes the most accurate diagnosis is based on doctor’s clinical experience.
In some cases one must use an addition imaging and laboratory tests to make possibly the most accurate diagnosis.
Few data from different diagnostic modalities can be assessed separately or in combinations, which are provided in presented indices.
One must be aware that presented indices are an additional diagnostic tool and cannot replace correctly performed medical examination.