Predictive factors in the diagnosis of endometriomas in relation to the anatomopathological result in patients using the public and private systems

Abstract

Introduction: The prevalence of endometriomas in young patients is associated with pain symptoms, infertility and changes in the psychosocial context and quality of life of these patients. The identification of a preoperative imaging exam with accuracy in the diagnosis of these cysts would provide a more precise, safe and adequate therapeutic management in the management of this ovarian cyst. Objective: To investigate the accuracy of the main diagnosis at admission in relation to imaging tests (TVUS and MRI) and perioperative diagnosis with that obtained in the anatomopathological examination in patients with suspected ovarian endometrioma and adnexal cysts. Methodology: Retrospective observational study 80 medical records of patients undergoing ovarian cyst surgery in the SUS and supplementary health care. The agreement between diagnoses on admission, TVUS and perioperatively with the anatomopathological result in relation to endometrioma and other cysts was evaluated using the Kappa coefficient. Results: At admission: endometrioma (15.6%), complex cyst on TVUS (50%). SUS patients had lower prevalence of pain symptoms and laparoscopic surgical access (p<0.001). Comparing diagnoses at admission, TVUS, perioperatively with anatomopathological diagnoses in patients under the insurance, p<0.05 was observed. In SUS patients, p<0.010 was observed. Conclusion: It is possible to conclude that agreement is considered high in SUS patients and moderate in health insurance patients.