Goldstein S R
New York University School of Medicine, New York, USA.
Am J Obstet Gynecol. 1996 Dec;175(6):1498-501. doi: 10.1016/s0002-9378(96)70097-2.
It has been 25 years since the introduction of the palpable postmenopausal ovary syndrome. As diagnostic imaging techniques have improved, small findings imaged in the adnexa were often handled as if they had been palpated. Clinical management was not made on any scientific basis. New endovaginal probes afford a degree of image magnification that is as if we are doing ultrasonography through a low-power microscope ("sonomicroscopy"). More recent additions of CA 125 measurement, color flow Doppler, and advanced endoscopic surgical techniques have come into the picture. This report attempts to describe an approach to postmenopausal cystic adnexal masses that synthesizes available information and techniques. It is designed to prevent unnecessary surgery and to prevent undue anxiety but not to miss or, at the least, unduly delay the diagnosis of ovarian cancer when it is, in fact, present.
自可触及的绝经后卵巢综合征被提出至今已有25年。随着诊断成像技术的进步，附件区成像发现的微小病变常被当作触诊发现来处理。临床处理并非基于任何科学依据。新型经阴道探头可提供一定程度的图像放大，就好像我们通过低倍显微镜进行超声检查（“超声显微镜检查”）。最近又增加了CA 125检测、彩色血流多普勒和先进的内镜手术技术。本报告试图描述一种综合现有信息和技术来处理绝经后附件区囊性肿块的方法。其目的是避免不必要的手术，防止过度焦虑，但又不会遗漏或至少不过度延迟卵巢癌的诊断，而当卵巢癌实际存在时。
