Angiography, Ultrasound and Fine-Needle Aspiration Biopsy in the Evaluation of Gynecologic Tumors

Abstract

The combination of angiography, ultrasound and fine-needle aspiration biopsy proved to be valuable in the preoperative evaluation of patients with a palpable mass. With ultrasound, the size, shape and origin of tumors exceeding 4 to 5 cm in diameter were correctly diagnosed, whereas angiography differentiated bettter between malignant and benign tumors.

Angiography of the Ovarian Artery in Adnexal Lesions

“…An ultrasound examination confirmed the tumor, and the patients were then referred for pelvic angiography. The an giographic technique has been described previously (KARLSSON & PERSSON 1979). In all cases a lumbar aortography was performed in order to obtain a gen eral view of the vascular supply of the tumor fol lowed by a selective angiography of the ovarian artery using the same technique as NORDMARK (1977) described for selective catheterization of the testicular artery.…”

“…The combination of ultrasound and pelvic angio graphy is proven to be reliable in the evaluation of gynecologic lesions (KARLSSON & PERSSON 1979) and can therefore be recommended preoperatively. Selective ovarian angiography enhances the pos sibilities for a correct preoperative diagnosis.…”

Angiography in Uterine and Adnexal Tumors

“…These 63 have been presented previously (KARLSSON & PERSSON 1979). In all pa tients ultrasound examination confirmed the pal pated mass before pelvic angiography.…”

Computed Tomography of Ovarian Carcinoma

“…Ultrasound provides useful diagnostic information about the primary ovarian tumor and is effec- tive in demonstrating superficially located omental or peritoneal metastases, but not deep masses (3,6,8,14,15). Penetration of ultrasound to deeply situated mesenteric masses and lymph nodes is impeded by the presence of gas and extensive mesenteric fat.…”