I-44: 3D Ultrasonography of Ovarian Tumors

author

  • Momtaz M
Abstract:

A prospective study was conducted at the OB/GYN department of Kasr El Eini hospital, Cairo University from Jan 2000 - Oct 2002. The study included 51 patients in the age group between 40-70 years (including pre and post menopausal women). All patients were subjected to following after taking a consent from each patient: Complete clinical evaluation; including history taking and clinical examination, Ultrasonographic evaluation using Voluson 530d (GE - Kretz); Conventional pelvic 2-D scanning and 3-D ultrasonographic evolution, histopathological examination of tissue specimens after D & C and/ or laparotomy according to the case. Ultrasonography was done in patients with ovarian lesions, they were described according to the following: Site (right, left or bilateral), Size, Nature (solid, cystic or heterogeneous), Echogenicity, Wall thickness, Wall for the presence of irregularities and Septa. 22 patients had adnexal masses, 6 were post-menopausal. The most sensitive U/S sign for malignancy in an ovarian mass is a thick wall (>3mm), while the most specific signs are thick septa (>3mm) and irregular wall. Combining 2D and 3D assessments achieves and a higher accuracy than either alone; with 85% sensitivity and 80% specificity. Doppler assessment of vascularity is a useful adjunct to the evaluation and, combined with 3D assessment, could achieve the highest accuracy. Although surgery for an ovarian mass is currently the inevitable outcome, prior knowledge of the odds for malignancy can guide such aspects as timing, extent and availability of frozen section pathology. Exact knowledge of the mass size, surface and relation to surroundings may select cases for Laparscopic surgery.

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Journal title

volume 8  issue 2.5

pages  16- 16

publication date 2014-07-01

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