Transvaginal ultrasound is the main reference technique in the evaluation of adnexal masses. Based on the Breast Imaging Reporting and Data System (BIRADS) classification Amor et al. suggested adapting this system to gynecologic ultrasound for the evaluation of adnexal masses: Gynecologic Imaging Reporting and Data System (GI-RADS) and based on recognition patterns and criteria recommended by the IOTA group.
The initial screening for hereditary breast and ovarian cancer syndrome should include specific questions about the patient’s personal and family history of breast and ovarian cancers, risk assessment, education, and counseling.
o Steroidogenic enzyme deficiencies
§ Congenital adrenal hyperplasia
§ Aromatase deficiency
o Androgen-secreting tumors
o Exogenous androgens
§ Anabolic steroids
§ Transsexual hormone replacement
§ Idiopathic hirsutism
Revised diagnostic criteria of PCOS
1999 criteria (both 1 and 2)
1. Chronic anovulation
2. Clinical and/or biochemical signs of hyperandrogenism, and exclusion of other aetiologies