Mauriziano Hospital in Turin. Patients diagnosed with ovarian cancer were included and divided according to age at diagnosis in group A (70 years) and group B (<70 years). For each patient are considered: co-morbidities, performance status, FIGO stage, grading, histotype, surgical treatment (divided in standard, radical and ultra-radical) and chemotherapy details.Results 457 patients were included in the study, 138 (30.2%) in group A and 319 (69.8%) in group B.

paraaortic ones), Stage 3 cancer ovary for pelvic and paraaortic ones. The approach for visualizing lymph nodes starts at the inguinal canal and proceeds towards the diaphragm. A transvaginal examination visualize lymph nodes related to external iliac vessels and the obturator fossa. Results Pathological nodes involved by metastasis has a peripheral or mixed perfusion as an early sign. The shape of an infiltrated lymph node is round, with loss of the hilum sign and inhomogeneous and hypoechogenic. Necrosis, calcification or lymph-node deposits produce a heterogeneous pattern. Later, there is extracapsular growth and irregular margin. Lymph nodes can have a large size more than 2 cm but it is not correlated to malignancy. Nodes are assed based in shape, echogenicity, regularity, homogencity and vascularity. Usually if 2 abnormal signs are seen on ultrasound, this indicates a pathological node apart from size. Conclusion Ultrasound can be used in assessing lymph nodes.