Cystic lesions in elderly women, diagnosed by ultrasound.
Department of Obstetrics and Gynecology, University Hospital, Lund, Sweden.British Journal of Obstetrics and Gynaecology 10/1989; 96(9):1076-9.
A retrospective review of an entire clinical series of 152 women over 50 years of age, in whom cystic lesions without solid parts had been diagnosed by ultrasound, found there were no malignancies in 58 completely anechoic lesions less than 5 cm in diameter. Of 10 small lesions (less than 5 cm in diameter) with some echogenicity or septa, one was a borderline tumour. In contrast, in patients with lesions greater than 5 cm in diameter there were three malignancies in the group of 33 totally anechoic cysts, five in the group of 32 cysts with some echogenicity, and as many as eight malignancies in the 18 lesions where several septa were present. Two borderline and one malignant tumour had been missed at previous clinical examination. We conclude that small anechoic lesions are seldom, if ever, malignant in elderly women. Sonography is helpful in patients with a negative clinical examination when pelvic pain or signs of malignancy are present.
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ABSTRACT: To compare the rates of hospital admission for management of ovarian cysts in England and Wales and the United States between 1972 and 1974 and 1984 and 1986; and to determine whether these rates are related to rates of early diagnosis of ovarian cancer. Analysis of published and unpublished hospital discharge data based on national samples, the Hospital In-patient Enquiry (HIPE), a 10% hospital discharge sample for England and Wales, and the National Hospital Discharge Survey (NHDs), a 5% sample for the United States. Age-specific discharge rates for primary and secondary diagnoses of ovarian cyst or benign ovarian tumour. There was an age-adjusted increase in discharge rates of about 8% in both countries; discharge rates in the United States were approximately double those in England and Wales in both time periods. There was no difference in the rates of early diagnosis of ovarian cancer. Ovarian cysts are a common cause of hospital admission in both countries. The higher rates in the United States are not associated with earlier diagnosis of ovarian cancer.British Journal of Obstetrics and Gynaecology 05/1992; 99(4):329-32. DOI:10.1111/j.1471-0528.1992.tb13733.x
- Journal of Obstetrics and Gynaecology 09/1992; 12(5):312-313. DOI:10.3109/01443619209015517 · 0.55 Impact Factor
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ABSTRACT: In an attempt to evaluate the significance of malignant tumors in postmenopausal women, we reviewed the charts of 380 postmenopausal women over 50 years of age, operated on in our department for adnexal masses, from January 1st 1980 to December 31st, 1989. Two hundred and ninety-seven benign (78.2%) and 83 malignant (21.8%) tumors were found. In our group of patients the rate of malignancies increases significantly with the size of the lesion. Of the malignant tumors 25.1% were in the age group 50-60 years, 16.3% in the age group 60-80 years and 58.6%, a fourfold increase in the rate of malignancies, in the over 80 age group. Although surgery might pose problems in older patients, we conclude, on the basis of our experience, that surgical treatment should be considered for all adnexal masses in postmenopausal women.International Journal of Gynecology & Obstetrics 10/1992; 39(1):35-9. DOI:10.1016/0020-7292(92)90777-G · 1.54 Impact Factor
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