Objectives To describe the clinical history and ultrasound findings in women with decidualized endometriomas surgically removed during pregnancy. Methods In this retrospective study, women with a his

Objectives To compare two-dimensional (2D) and three-dimensional (3D) transvaginal ultrasound with magnetic resonance imaging (MRI) as the gold standard in assessment of parametrial infiltration of cervical

Transvaginal ultrasound examination seems to be able to discriminate between invasive and non-invasive tumors in the premenopausal patients with unilocular-solid adnexal masses. Because of the retrospective nature of the study, further prospective clinical trials are needed to confirm the accuracy of the selected sonographic parameters in discriminating the invasive and non-invasive adnexal tumors.

Objectives:To describe the clinical history and ultrasound findings in patients with tubal carcinoma. Methods: Patients with a histological diagnosis of tubal cancer who had undergone preoperative ultrasound examination were identified. The tumors were described using the terms and definitions of the IOTA group. In addition, two authors together reviewed all available ultrasound images and described them using subjective evaluation. Results: Of 79 patients identified, 70 (89%) had serous carcinomas. 49 (62%) were asymptomatic. 53 (67%) tumors were solid at ultrasound examination, 14 (18%) were multilocular-solid, 10 (13%) unilocular-solid, 2 (3%) and unilocular cystic. The median largest diameter of the tumour was 58 mm (range 18-141). Normal ipsilateral ovarian tissue was seen in 39/79 (51%) women adjacent the adnexal tumour. The most common morphological appearances of tubal tumours (assessable for 62 cases with available images) were: ovoid or oblong shaped solid tumour (58%), sausage shaped predominately solid tiumour with a small cystic component (21%) and sausage shaped predominately cystic structure with papillary projections (18%). Conclusions: A well vascularized ovoid or sausage shaped structure with large solid component/s in the pelvis should raise the suspicion of tubal cancer, especially if normal ovarian tissue is seen adjacent to it. Supporting information can be found in the online version of this abstract OC14.04 Ultrasound in female genital tuberculosis: a retrospective seriesObjectives: To identify features in patients with a confirmed diagnosis of female genital tuberculosis (FGTB) and specific signs, if any. Definitive diagnosis of tuberculosis depends on identification of the bacillus in clinical specimens. The paucibacillary nature of the disease may not allow this. Treatment decisions are consequently empirical and based on clinical features, multiple laboratory tests, surgical findings and indirect signs on histopathology. Ultrasound has remained underevaluated as a pointer of disease. Methods: A retrospective study was carried out on consecutive patients that presented over a two year period and had a final diagnosis of FGTB based on culture isolates or histopathology. Clinical information had been archived with 2D findings and 3D datasets of the uterus and adnexa. Each patient had had a transabdominal and a transvaginal study on a Voluson E8 (Zipf, Austria) unit.103 patients had a confirmed diagnosis and were analysed. Findings were also compared with those of 256 patients that did not have a confirmed diagnosis of FGTB. Results: Findings included a normal scan, interruptions in endometrial extent, endometrial fluid, calcification, bands or inhomogeneity, a thin endometrium or diffuse variable thickening, cornual obliteration, vertical course of the interstitial extent of the tube, impaired endometrial midcycle vascularity in stimulated cycles, subendometrial calcification, oligemic myometrial cysts, abnormal midcycle uterine artery flow, tubal fluid, free and loculated peritoneal flui...

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