Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model

Detalhes bibliográficos
Autor(a) principal: Brito, Marta Espanhol
Data de Publicação: 2021
Outros Autores: Borges, André, Rodrigues, Sofia, Ambrósio, Paula, Condeço, Raquel, Lacerda, Abílio, Bernardo, Maria José, Pinto, Patrícia, Djokovic, Dusan
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/128608
Resumo: Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
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spelling Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex modelA prospective multicenter portuguese studyAdnexal massBenign lesionsConservative managementIOTA ADNEX modelUltrasoundClinical BiochemistrySDG 3 - Good Health and Well-beingPublisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.This prospective multicentric study aiming to determine the incidence of complications (malignant transformation, torsion or rupture) during conservative management of adnexal masses was performed in two Portuguese tertiary referral hospitals. It included ≥18-year-old, non-pregnant patients with asymptomatic adnexal masses (associated IOTA ADNEX risk of malignancy < 10%) sonographically diagnosed between January 2016 and December 2020. Conservative patient management consisted of serial clinical and ultrasound assessment up to 60 months of follow-up, spontaneous resolution of the formation or surgical excision (median follow-up: 17.8; range 9–48 months). From the 573 masses monitored (328 premenopausal and 245 postmenopausal adnexal masses), no complications were observed in 99.5%. The annual lesion growth rates and increases in morphological complexity were similar in the premenopausal and postmenopausal patients. Spontaneous resolu-tion, evidenced in 16.4% of the patients, was more common in the premenopausal group (p < 0.05). Surgical intervention was performed in 18.4% of the cases; one borderline and one invasive FIGO IA stage cancer were diagnosed. There was an isolated case of ovary torsion (0.17%). These data support conservative management as a safe option for sonographically benign, stable and asymp-tomatic adnexal masses before and after menopause and highlight the need for expedite treatment of symptomatic or increased-morphological-complexity lesions.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNBrito, Marta EspanholBorges, AndréRodrigues, SofiaAmbrósio, PaulaCondeço, RaquelLacerda, AbílioBernardo, Maria JoséPinto, PatríciaDjokovic, Dusan2021-12-02T23:47:32Z2021-112021-11-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/128608eng2075-4418PURE: 34924935https://doi.org/10.3390/diagnostics11111992info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:08:06Zoai:run.unl.pt:10362/128608Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:46:22.388958Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
A prospective multicenter portuguese study
title Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
spellingShingle Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
Brito, Marta Espanhol
Adnexal mass
Benign lesions
Conservative management
IOTA ADNEX model
Ultrasound
Clinical Biochemistry
SDG 3 - Good Health and Well-being
title_short Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
title_full Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
title_fullStr Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
title_full_unstemmed Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
title_sort Conservative management of asymptomatic adnexal masses classified as benign by the iota adnex model
author Brito, Marta Espanhol
author_facet Brito, Marta Espanhol
Borges, André
Rodrigues, Sofia
Ambrósio, Paula
Condeço, Raquel
Lacerda, Abílio
Bernardo, Maria José
Pinto, Patrícia
Djokovic, Dusan
author_role author
author2 Borges, André
Rodrigues, Sofia
Ambrósio, Paula
Condeço, Raquel
Lacerda, Abílio
Bernardo, Maria José
Pinto, Patrícia
Djokovic, Dusan
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Brito, Marta Espanhol
Borges, André
Rodrigues, Sofia
Ambrósio, Paula
Condeço, Raquel
Lacerda, Abílio
Bernardo, Maria José
Pinto, Patrícia
Djokovic, Dusan
dc.subject.por.fl_str_mv Adnexal mass
Benign lesions
Conservative management
IOTA ADNEX model
Ultrasound
Clinical Biochemistry
SDG 3 - Good Health and Well-being
topic Adnexal mass
Benign lesions
Conservative management
IOTA ADNEX model
Ultrasound
Clinical Biochemistry
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-02T23:47:32Z
2021-11
2021-11-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/128608
url http://hdl.handle.net/10362/128608
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2075-4418
PURE: 34924935
https://doi.org/10.3390/diagnostics11111992
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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