Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment

A common problem in gynecological practice is the differential diagnosis of the ovarian masses. The clinician must apply the IOTA (International Ovarian Tumor Analysis) ADNEX (Assessment of Different Neoplasia in the Adnexa) model criteria to evaluate the risk of benign, borderline or malignant tumo...

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Autores principales:	Tudor Butureanu, Demetra Socolov, Daniela Roxana Matasariu, Alexandra Ursache, Ana-Maria Apetrei, Irina Dumitrascu, Ingrid Vasilache, Dorina Rudisteanu, Vasile Lucian Boiculese, Ludmila Lozneanu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	adnexal mass IOTA ultrasound histology treatment Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/6f68c97a65374d4da0e907fc75991c4b
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spelling	oai:doaj.org-article:6f68c97a65374d4da0e907fc75991c4b2021-11-25T16:38:08ZOvarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment10.3390/app1122107892076-3417https://doaj.org/article/6f68c97a65374d4da0e907fc75991c4b2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/22/10789https://doaj.org/toc/2076-3417A common problem in gynecological practice is the differential diagnosis of the ovarian masses. The clinician must apply the IOTA (International Ovarian Tumor Analysis) ADNEX (Assessment of Different Neoplasia in the Adnexa) model criteria to evaluate the risk of benign, borderline or malignant tumors. The aim of this study was to verify if the IOTA ADNEX model is a practical tool to be used before surgery and if there is a significant difference between IOTA ADNEX criteria and histological findings. A prospective single center study was performed between January 2017 and December 2019 in Obstetrics and Gynecology Hospital “Cuza-Voda”, Iasi, Romania. The study included 230 patients between 17 and 74 years old diagnosed with persistent adnexal masses. We applied the IOTA ADNEX model protocol predicting the risk of benign, borderline or malignant masses. The golden standard remains the histological diagnosis of the surgically removed mass. The patients that had been diagnosed using ultrasonography with persistent adnexal masses between 30 and 291 mm were operated on in our clinic. In our study. the majority of patients had benign ovarian tumor mass, these being 223 (96.96%) patients, from whom, according to IOTA ADNEX protocol, the correspondence was: 91.8–99.7% at risk of benign tumors, 0.3–4.5% at risk of borderline tumors and 0.3–8.2% at risk of malignant masses. Unexpected findings were obtained from the malignant group that included five patients (2.17%) with the following correspondence: 96.1–99% at risk of benign tumors, 0.6–2.4% at risk of borderline tumors and 1–3.9% at risk of malignant masses. After applying the IOTA ADNEX model criteria, the patients with a suspicion of malignant disease were correctly guided towards surgical treatment in an oncological center. In our hospital, surgical treatment was only proposed to those patients with high suspicion of benign masses.Tudor ButureanuDemetra SocolovDaniela Roxana MatasariuAlexandra UrsacheAna-Maria ApetreiIrina DumitrascuIngrid VasilacheDorina RudisteanuVasile Lucian BoiculeseLudmila LozneanuMDPI AGarticleadnexal massIOTAultrasoundhistologytreatmentTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 10789, p 10789 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adnexal mass IOTA ultrasound histology treatment Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
spellingShingle	adnexal mass IOTA ultrasound histology treatment Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999 Tudor Butureanu Demetra Socolov Daniela Roxana Matasariu Alexandra Ursache Ana-Maria Apetrei Irina Dumitrascu Ingrid Vasilache Dorina Rudisteanu Vasile Lucian Boiculese Ludmila Lozneanu Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment
description	A common problem in gynecological practice is the differential diagnosis of the ovarian masses. The clinician must apply the IOTA (International Ovarian Tumor Analysis) ADNEX (Assessment of Different Neoplasia in the Adnexa) model criteria to evaluate the risk of benign, borderline or malignant tumors. The aim of this study was to verify if the IOTA ADNEX model is a practical tool to be used before surgery and if there is a significant difference between IOTA ADNEX criteria and histological findings. A prospective single center study was performed between January 2017 and December 2019 in Obstetrics and Gynecology Hospital “Cuza-Voda”, Iasi, Romania. The study included 230 patients between 17 and 74 years old diagnosed with persistent adnexal masses. We applied the IOTA ADNEX model protocol predicting the risk of benign, borderline or malignant masses. The golden standard remains the histological diagnosis of the surgically removed mass. The patients that had been diagnosed using ultrasonography with persistent adnexal masses between 30 and 291 mm were operated on in our clinic. In our study. the majority of patients had benign ovarian tumor mass, these being 223 (96.96%) patients, from whom, according to IOTA ADNEX protocol, the correspondence was: 91.8–99.7% at risk of benign tumors, 0.3–4.5% at risk of borderline tumors and 0.3–8.2% at risk of malignant masses. Unexpected findings were obtained from the malignant group that included five patients (2.17%) with the following correspondence: 96.1–99% at risk of benign tumors, 0.6–2.4% at risk of borderline tumors and 1–3.9% at risk of malignant masses. After applying the IOTA ADNEX model criteria, the patients with a suspicion of malignant disease were correctly guided towards surgical treatment in an oncological center. In our hospital, surgical treatment was only proposed to those patients with high suspicion of benign masses.
format	article
author	Tudor Butureanu Demetra Socolov Daniela Roxana Matasariu Alexandra Ursache Ana-Maria Apetrei Irina Dumitrascu Ingrid Vasilache Dorina Rudisteanu Vasile Lucian Boiculese Ludmila Lozneanu
author_facet	Tudor Butureanu Demetra Socolov Daniela Roxana Matasariu Alexandra Ursache Ana-Maria Apetrei Irina Dumitrascu Ingrid Vasilache Dorina Rudisteanu Vasile Lucian Boiculese Ludmila Lozneanu
author_sort	Tudor Butureanu
title	Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment
title_short	Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment
title_full	Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment
title_fullStr	Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment
title_full_unstemmed	Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment
title_sort	ovarian masses-applicable iota adnex model versus morphological findings for accurate diagnosis and treatment
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6f68c97a65374d4da0e907fc75991c4b
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Ovarian Masses-Applicable IOTA ADNEX Model versus Morphological Findings for Accurate Diagnosis and Treatment

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