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Ultrasonography can be used to evaluate material or fluid contained in a mass and it can be used to assess the surface of the ovarian capsule. Color-flow Doppler is useful for distinguishing between benign and potentially malignant lesions. In most cases, CT scanning and MRI are unnecessary in the evaluation of an adnexal mass. Ultrasound findings suggestive of malignancy include an ovarian mass with solid or complex components, septations, evidence of surface nodularity or papillae, increased vascular flow, or heterogeneous echotexture. Furthermore, serial or follow-up ultrasonograms are helpful in monitoring the progression of an ovarian mass over time. Repeating an ultrasonogram in 6 weeks can delineate if the mass is enlarging or if the dimensions are diminishing. The presence of pelvic or abdominal ascites and/or pelvic or abdominal lymphadenopathy on CT scans or MRIs further raises the index of suspicion for ovarian malignancy. <a href=http://buymedsonline.org/products/buy-lexapro-online.htm>Source</a>
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The precise origin of cold-knife conization is uncertain. Procedures similar to conization were used in the early 19th century in an attempt to excise gross cervical tumors per vaginam. During the second half of the 20th century, conization evolved as an important tool for diagnosing the cause of positive cervical cytology in women without visible lesions and, later, as treatment of CIN. The diagnostic application of cold-knife conization was reduced following the widespread use of colposcopically directed cervical biopsies combined with endocervical curettage. However, conization remains an important diagnostic tool in selected situations. Therapeutic conization for CIN became an accepted modality in the management of CIN following publication of rigorous studies by Scandinavian and Austrian researchers.1,2,3,4 <a href=http://buymedsonline.org/products/buy-lithium-carbonate-online.htm>have a peek at this web-site</a>
* Laparoscopy-assisted vaginal hysterectomy is vaginal hysterectomy with the help of laparoscopy.Fine-needle aspiration (FNA) is an important diagnostic tool in gynecology. Its main role is in diagnosis of advanced and recurrent gynecologic malignancies. The technique uses a small-gauge needle to aspirate a lesion for cytologic analysis, sometimes with the aid of radiographic imaging techniques. <a href=http://buymedsonline.org/products/buy-zanaflex-online.htm>Source</a>
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