Karima Mekni

El Manar University, Tunisia

Title: Applicability of the adnex score in predicting the malignancy of ovarian cysts

Abstract

Objective: Ovarian tumors present multiple diagnostic difficulties due to the deep anatomical situation of the ovary and the absence of specific symptoms. Only histology allows a definite diagnosis. Our objective was to study the contribution of the Adnex score in the histological characterization of adnexal images for adequate management.

Methods: It was a retrospective, mono-center, descriptive and analytical. Sixty-five patients were included, those operated for an ovarian cyst and meeting the Adnex criteria: clinical, ultrasound and laboratory.

Results: The mean age of the patients was 38.6 years. They were nulliparous in 43%, and only four had a history of operation on ovarian cyst. Abdominal pelvic pain was the most frequent reason for consultation 48%. An abdominopelvic mass was found on abdominal examination in 11% of cases. Pelvic ultrasound made it possible to objectify the presence of an ovarian mass in all cases, with an average size of 79.66 mm and a reassuring appearance in 66% of cases. The calculation of the Adnex score was done in all patients preoperatively, for a 10% cut-off, the model showed an 86% chance of benignity for tumors proven to be histologically benign. The main route of entry was laparoscopy, in 61% of cases. The treatment was in most cases conservative consisting essentially of a cystectomy.

Conclusion: The Adnex score discriminated well between benign and malignant masses, allowing for a better diagnosis preoperatively. It thus deserves its applicability in the clinical setting.

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2nd International Conference on Gynecology and Obstetrics

Karima Mekni

Title: Applicability of the adnex score in predicting the malignancy of ovarian cysts

Abstract

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