ACOG Releases Guidelines on Management of Adnexal Masses

摘要

Risk factors for ovarian cancer include older age, family history of breast or ovarian cancer, hereditary non polyposis colorectal cancer, Lynch II syndrome, nulliparity, primary infertility, and endometriosis. If performed in conjunction with transvaginal ultrasonography, color Doppler ultrasonography measures blood flow indices (e.g., resistive index, pulsatility index, maximum systolic velocity); however, its use is controversial because the values of these indices overlap considerably between benign and malignant masses. OTHER IMAGING MODALITIES Computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) are not recommended for initial evaluation of adnexal masses, and their use after transvaginal ultrasonography is of limited value.