Abstract
Article: Sonographic Features of TOA With Highly Elevated CA-125: A Case Series
Authors: Priya R. Patel, MD, MPH and Elizabeth Crabtree-Burton, BA, RDMS, RVT
Category: OB/GYN [OB]
Credit: 0.5 SDMS CME Credit
Objectives: After studying the article entitled “Sonographic Features of TOA With Highly Elevated CA-125: A Case Series,” you will be able to:
Understand tubo-ovarian abscess (TOA) and its associated risks
Describe the sonographic features of TOA
Compare the treatment of TOA and malignant conditions
In what percentage of women with pelvic inflammatory disease (PID) does TOA occur? 1%–3% 5%–15% 25%–50% 75%–85%
Which of the following is considered a first-line treatment for TOA? Surgical intervention Corticosteroids Antibiotics Intrauterine device
What are the typical sonographic features of TOA? Complex cystic masses with internal debris, layering, thick wall, and free fluid Complex cystic masses without internal debris, layering, and septations Alpha-Upper cystic masses, thin walls, irregular shape, and no fluid Alpha-Upper cystic masses, thick walls, tubular shape, and no septations
In addition to a CA-125 biomarker, what additional lab values would be beneficial to obtain for a TOA diagnosis? Creatine, hematocrit, and international normalized ratio Prothrombin time, platelet, and blood urea nitrogen Hematocrit, low-density lipoprotein, and human chorionic gonadotropin White blood count, erythrocyte sedimentation rate, and a C-reactive protein
TOA often occurs from which of the following complications? Pelvic congestion syndrome PID Kidney disease Appendicitis
Footnotes