CA 12-5 VE TVUS ÝLE ADNEKSÝYEL KÝTLELERÝN BENÝGN -MALÝGN OLARAK SKORLANMASI

Kadýn genital sisteminde en sýk görülen malignensiler over kaynaklý olanlardýr ve kadýn ölümlerinin en sýk 4. nedenidir. Preoperatif doðru tanýnýn konmasý optimal preoperatif hazýrlýk ve yeterli cerrahi evreleme - sitoredüksiyonu mümkün kýlabilir. Günümüzde adneksiyal kitlelerin malign-benign ayrýmýnýn yapýlmasýnda pekçok tetkik yapýlmaktadýr. Biz çalýþmamýzda ülkemiz koþullarýnda hemen hemen her hastanede ve her jinekologun ofisinde bulunan transvaginal USG ve diðer laboratuar testlerine göre nispeten ucuz olan kan CA-125 seviyelerini kullanarak adneksiyal kitlelerde malignite açýsýndan pratik ve daha kolay yorumlanabilen yeni bir skorlama sistemi oluþturabilmeyi amaçladýk. Assit, ortalama boyut,ekojenite,cidar yüzeyi parametrelerini TVUS ile deðerlendirdik ve CA12-5 deðeri ile birlikte skorladýk.

THE SCORING OF THE ADNEXIAL MASSES AS MALIGN-BENIGN WITH THE COMBINED USE OF TVUS AND CA 12-5

Ovarian cancer is the most common malignancy of the female genital tract and 4th most common cause of women deaths. The accurate diagnosis and preperation of patients preoperatively is imperative for the surgical staging and cytoreductive surgery. For the differentiation between malign and benign adnexial masses, many technics are being used. Our objective was to design a new scoring system with the use of the transvaginal ultrasound, frequently used in the office practice and serum CA 12-5 levels, relatively cheaper than the other labaratory tests. Ascites, mean diameter, echogenity, characteristics of surface were evaluated ultrasonographically and scored with CA 12-5 levels. With help of our scoring system, the sensitivity and spesificity was %90 and %80, the positive and negative predictive values were %64 and %92 Respectively.