NHẬN XÉT PHÂN LOẠI O-RADS SIÊU ÂM TRONG CHẨN ĐOÁN KHỐI U BUỒNG TRỨNG TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objective: To describe ovarian ultrasound images of the O-RADS classification and their associations with pathology results to evaluate the predictive ability of the O-RADS classification in diagnosing ovarian tumors. Methods: retrospective cross-sectional descriptive study of 384 ovarian ultrasound images in 336 women examined and treated for ovarian tumors at Hanoi Obstetrics and Gynecology Hospital from August 2022. Results: The average age of patients in the study was 36.3 ± 11.94 years old with 36.9% aged 40 years and older; O-RADS 2 classification was 66.92%; O-RADS 3 was 23.7% and O-RADS 5 was 3.39%. Multilocular images were 21.09%; solid lesions were 3.91%; increased sounds were 57.29%; tumor diameter≥10cm were15.89%; 1.56% ≥ 4 cysts and 0.25% was fluid. The main malignancies are endometrial adenocarcinoma with 1.82%; serous carcinomas were 1.56%. In the O-RADS 5 classification, 46.15% have cancer classified as stage 3; and 7.69% border. O-RADS classification 4 is present in 20% of stage 1 cancers; 20% in stage 3 with p < 0.05. Conclusion: The predictive value of benign and malignant tumors of the O-RADS classification is quite high: patients with O-RADS classifications 1, 2, 3 are often benign, O-RADS classification 5 has good results. pathology of malignant or borderline tumor.