Nishat Zohra.
Ultrasonography of ovarian tumors: predictability of tumor type
J Liaquat Uni Med Health Sci Sep - Dec 2004;3(2):60-3.
Isra University, Hala Road, Hyderabad

OBJECTIVE: To determine the accuracy of ultrasonography in predicting the tumor type, so that the diagnosis of malignancy can be suggested preoperatively and appropriate treatment planned. DESIGN: Descriptive study. SETTING: Department of Gynaecology and Obstetrics, Liaquat University Hospital, Hyderabad, Pakistan from 1996-2000. PATIENTS AND METHODS: Case records of 87 patients with ovarian tumors were analyzed. All these patients had preoperative ultrasound examination. Ultrasound findings were compared with histopathological findings. RESULTS: Four patients with false positive diagnosis of ovarian tumor were excluded from this study. Out of 83 cases, 59 were benign and 24 malignant ovarian tumors. Solid component was present in 80% cases of malignant tumors and 20% of malignant tumors were cystic with septations. Solid component was also seen in 27.58% of benign tumors. Unilocular clear cysts were all benign. Dermoid cysts were all diagnosed on ultrasound. CONCLUSION: Anechoic masses have high probability of being benign and possibility of malignancy increases with the presence of solid component. Sensitivity and specificity for diagnosing malignant tumor can increase with the use of transvaginal color Doppler Ultrasound and magnetic resonance imaging.

Category: Radiology
Keywords: Cancer. Ovary. Ovarian Tumors. Ultrasonography. Histopathology.

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