Accuracy of transvaginal Doppler ultrasound in differentiating malignant adnexal masses
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Abstract
Ovarian cancer is associated with high morbidity and mortality because it is asymptomatic in its early stages, making the accurate characterization of adnexal masses a major clinical challenge. To analyze the diagnostic accuracy of transvaginal Doppler ultrasound in distinguishing between benign and malignant adnexal masses. Methodology: A systematic review was conducted using the PRISMA method, analyzing 26 indexed scientific articles published between 2020 and 2026. Results: Doppler flowmetry detects abnormal tumor neovascularization, achieving a sensitivity of 91% and a specificity of 88% when combined with standardized reporting systems such as O-RADS and IOTA. Although interpretation is operator-dependent, the integration of two-dimensional anatomy with hemodynamics allows for accurate risk assessment, thereby avoiding unnecessary radical surgeries for benign masses. Transvaginal Doppler ultrasound is the first-line noninvasive diagnostic tool. Its structured use improves patient survival by optimizing timely referral to a gynecologic oncologist.
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