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Re: Evaluation and Treatment of Adnexal masses From: Bernard Cristalli (bcrist@club-internet.fr) Mon Jul 14 01:08:59 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: J. Bulley: "Re: vaginal hormones" Previous message: Bernard Cristalli: "Re: Your chance to make me look good.." Geffrey H. Klein, MD wrote: > > Hi all.. I have been reading literature regarding this issue.. Perhaps I > could get some feedback regarding some controversial issues: > > 1) Role of doppler in evaluation of adnexal masses (Some comments in the > literature that this sould be regarded solely as investigational due to > lack of standardization in equipment and training). Agreed > 2) Management of the contralateral ovary in postmenopausal women with > benign adnexal masses. bilateral ovariectomy > 3) Utilization of Lerner's ultrasonographic scoring for adnexal masses. > Article claims cutoff score > or = 3 has a > sensitivity of 96.8% and a specificity of 77% for malignacy > Not used to that. It looks merely in the sum of the signs of malignancy. > > 4) The role of laparoscopy for the management of postmenopausal women with simple sonolucent masses less than 10 cm and CA125 <35. Laparoscopy rather than laparotomy > 5) The role of observing simple sonolucent masses of 5 cm or less with a > CA125 of <35 in post menopausal women. Observation? Why not? Till when. For a true post menopausal woman a persistant cyst is organic in 80% of the cases. Operation I said.. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: J. Bulley: "Re: vaginal hormones" Previous message: Bernard Cristalli: "Re: Your chance to make me look good.."

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