Dergiler / GORM:Gynecology Obstetrics & Reproductive Medicine / 1998 / Cilt: 4 - Sayı: 3

Transvaginal ultrasound in the diagnosis of diffuse adenomyosis

Diffuz adenomyosizin tanınmasında transvaginal ultrasonografi

İdris KOÇAK,Filiz YANIK,Cazip ÜSTÜN,Arif KÖKÇÜ

Sayfa
141–142
DOI
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Özet

Bu çalışmanın amacı diffuz adenomyozisin taranmasında transvaginal ultrasonun tanısal değerini değerlendirmektir. TVS ile %88.8 sensitivite, %88.3 specificite, 64% positive predictive değer ve %97.1 negative predictive değer ile tanı konuldu. Bu çalışma adenomyosisin tanınmasında TVU önemini göstermektedir.

Abstract

OBJECTIVE: Transvaginal ultrasound (TVU) have many applications in evaluation of the uterus. TVU is particularly accurate in the evaluation of myometrial and endometrial disorders. The main aim of this study is to evaluate the diagnostic capability of transvaginal ultrasound in detecting diffuse adenomyosis. STUDY DESIGN: Ninety-five women, mean age 48.7 years (38-60), were studied by TVU before hysterectomy for benign uterine pathology. The Sonographer diagnosed adenomyosis in twenty- five patients, whereas the pathologist diagnosed adenomyosis in eightteen making ex novo diagnoses in two cases. RESULTS: The sensitivity of TVU was 88.8%, the specificity 88.3%, the positive predictive value 64%, and the negative predictive value 97.1%. CONCLUSIONS: This study showed that TVU is an important and advanced tool in diagnosis of diffuse adenomyosis.