title: What is the success of ultrasonography of benign adnexal masses?
abstract: OBJECTIVE
  To assess the diagnostic accuracy of the ultrasonographic discrimination of benign adnexal masses.
  
  
  METHODS
  This was a prospective study, evaluating 245 consecutive cases using real-time gray-scale ultrasonography in a tertiary education hospital.
  
  
  RESULTS
  Diagnostic accuracy was high for simple cysts and solid masses as κ-values of 0.824 and 0.816 and accuracy was moderate for endometriomas, dermoid cysts and cystadenomas as κ-values of 0.758, 0.689 and 0.627, respectively, and low for hemorrhagic cysts as a κ-value of 0.587. A logistic regression model was developed using ultrasonographic characteristics of the adnexal masses. Irregularity at lining of the inner wall, presence of solid component, papillary projections and echogenicity were shown to have a strong impact on the diagnosis of benign masses.
  
  
  CONCLUSIONS
  Although ultrasonography is a useful technique for the diagnosis of benign adnexal masses, it is limited in diagnostic accuracy. Pattern recognition is the most favored method for ultrasonographic diagnosis. Logistic regression analysis can contribute to diagnostic accuracy.
authors.affiliation: Department of Gynecology and Obstetrics, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Yeşim
authors.initials: Y
authors.lastname: Bayoğlu Tekin
authors.forename: Faruk Suat
authors.initials: FS
authors.lastname: Dede
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003537:Cystadenoma / Q000000981:diagnostic imaging* / Q000473:pathology; D003884:Dermoid Cyst / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000000981:diagnostic imaging* / Q000473:pathology; D005185:Fallopian Tube Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D011237:Predictive Value of Tests; D011446:Prospective Studies; D014463:Ultrasonography; D055815:Young Adult
keywords: accuracy; benign adnexal masses; pattern recognition; ultrasonography