Conservative management of postmenopausal pelvic echo-free findings--preliminary results.
OBJECTIVE
To develop a conservative protocol for the treatment of echo-free findings in the pelvis, diagnosed by sonography in post-menopausal women, in order to avoid unnecessary surgical intervention.


METHODS
A prospective study where each post-menopausal-patient underwent sonographic evaluation of the pelvic mass, serum Ca-125 levels, ambulatory aspiration of the cyst, and operative laparoscopy if necessary.


RESULTS
One hundred and eighty-two women were included in the 3 years of the study. Only two cases of malignancy were diagnosed. There were no false-negative results.


CONCLUSIONS
Although the results of our protocol of conservative management look promising, we cannot draw final conclusions because of the small sample size. Perhaps as our knowledge increases, physicians will feel more confident in handling adnexal findings conservatively.
Pardo
J
J
Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah Tikva, Israel.
Kaplan
B
B
Levavi
H
H
Nitke
S
S
Mashiach
R
R
Neri
A
A
D000290:Adnexa Uteri / Q000000981:diagnostic imaging*; D000368:Aged; D014408:Biomarkers, Tumor / Q000097:blood; D018394:CA-125 Antigen / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000453:epidemiology; D017698:Postmenopause; D011446:Prospective Studies; D013997:Time Factors; D018608:Ultrasonography, Doppler
D014408:Biomarkers, Tumor; D018394:CA-125 Antigen