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[Relation between Doppler echo-flowmetry and oncogenic markers in pelvic masses]
P Favaro1, M T Zenorini, R Berzacola
1Reparto Ginecologia ed Ostetricia, Ospedale Orlandi, Bussolengo, Verona.
Minerva Ginecologica
|January 12, 1999
Summary
Transvaginal Doppler echoflowmetry can help differentiate pelvic masses. High pulsatility index (PI) suggests benignancy, while low PI indicates malignancy, offering a diagnostic aid beyond traditional markers.
Area of Science:
- Gynecology
- Medical Imaging
- Oncology
Background:
- Distinguishing benign from malignant pelvic masses is challenging using clinical and ultrasound methods alone.
- Histological analysis remains the definitive diagnostic tool for pelvic masses.
Purpose of the Study:
- To evaluate the utility of transvaginal Doppler echoflowmetry in differentiating benign and malignant pelvic masses.
- To compare Doppler flowmetric values with oncogenic markers and histological findings.
Main Methods:
- Transvaginal Doppler echoflowmetry was performed on 40 patients with pelvic masses.
- Vascular distribution and flowmetric values (PI) were assessed.
- Results were correlated with oncogenic markers and histological diagnoses.
Main Results:
- A high pulsatility index (PI) was associated with benign pelvic masses.
- A low PI was indicative of malignant pelvic masses.
- Oncogenic markers, particularly CA 125, showed high sensitivity but low specificity.
Conclusions:
- Transvaginal Doppler echoflowmetry, specifically PI, shows promise as a non-invasive tool for differentiating pelvic masses.
- Doppler flowmetry may offer improved specificity compared to certain oncogenic markers in pelvic mass diagnosis.