Diagnostic value of ultrasound indicators of neoplastic risk in preoperative differentiation of XXXX .

@entity1 @entity43 @entity4134 @entity5 @entity10224
AIM: To assess the diagnostic value of the risk of @entity5 indices and simple ultrasound- based rules in preoperative differentiation of @entity4134 . MATERIAL AND METHODS: Retrospective examination of 87 @entity1 admitted to hospital due to @entity5 . The lesions were evaluated on the basis of international ultrasound classification of @entity43 and four risk of @entity5 indices were calculated based on ultrasound examination, concentration of @entity10224 and menopausal status. RESULTS: The @entity1 were aged between 17 and 79, the mean age was 44.5 (standard deviation SD=16.6). Most of the @entity1 (60.91%) were before their menopause. The sensitivity of the simple ultrasound-based rules in the diagnosis of @entity5 equaled 64.71% and the specificity constituted 90.00%. A significant statistical difference in the presence of the malignant process was demonstrated in relation to age, menopausal status, @entity10224 concentration and analyzed ultrasound score. All indices were characterized by similar sensitivity and specificity. The highest specificity and predictive value of malignant lesions out of the assessed ones was demonstrated by the risk of @entity5 index proposed by Yamamoto. The risk of @entity5 index according to Jacobs, however, showed the highest predictive value in the case of non-malignant lesions. CONCLUSIONS: The multiparametric ultrasound examination may facilitate the selection of @entity1 with @entity5 to provide them with an appropriate treatment - observation, laparotomy and laparoscopy. These parameters constitute a simple ambulatory method of determining the character of @entity4134 before recommending appropriate treatment.
