title: The postmenopausal adnexal mass: correlation between ultrasonic and pathologic findings.
abstract: One hundred two postmenopausal women underwent ultrasonographic evaluation of adnexal masses before surgery. Twenty-nine (28%) had malignant tumors and 73 (72%) had benign tumors. Two of 33 patients with a "simple cyst" smaller than 5 cm in diameter by ultrasound had malignant ovarian tumors. Twenty-two of the 52 women (42%) with "complex masses" by ultrasound and five of the 17 (29%) with solid tumors had ovarian cancer. For predicting malignancy in ovarian tumors, abdominal ultrasonography had a positive predictive value of 39% and a negative predictive value of 94%. If a negative sonogram had been relied upon, 6% of malignant ovarian tumors in postmenopausal women might have been missed.
authors.affiliation: Department of Obstetrics and Gynecology B, Serlin Maternity Hospital, Tel Aviv University Medical Center, Sackler Faculty of Medicine, Israel.
authors.forename: D
authors.initials: D
authors.lastname: Luxman
authors.forename: A
authors.initials: A
authors.lastname: Bergman
authors.forename: J
authors.initials: J
authors.lastname: Sagi
authors.forename: M P
authors.initials: MP
authors.lastname: David
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D011237:Predictive Value of Tests; D014463:Ultrasonography