Vascular atypia and irregularity on surface as signs of malignant adnexal mass: A complementary method of laparoscopic assessment

To evaluate the risk of malignancy associated with the main macroscopic findings observed on adnexal masses during a laparoscopic approach. Prospective series of consecutive patients (Canadian Task Force classification II-2). Tertiary care university hospital. One hundred fifteen patients were included. Ninety-eight had benign and 17 malignant adnexal masses. Diagnostic and operative laparoscopy. Adnexal images were obtained during laparoscopy, recorded, and analyzed according to irregularity on surface, presence of atypical vessels, lobular form, absence of coral-like surface, implants, large-volume ascites, and cloudy or hemorrhagic ascites. A logistic regression was applied, and the independent findings associated with malignant disease were atypical vessels (OR 16.37; 95% CI 2.85–94.13; p