Classification of ovarian lesions by high‐frequency transvaginal sonography

Abstract

Two hundred patients suspected of having ovarian pathology were scanned with a 6.5-MHz transvaginal probe. Normal anatomical structures and abnormal findings were recorded and classified according to their shape, size, location, and sonographic characteristics. The sonographic images were correlated with the surgical findings, whenever available. A sonographic classification of ovarian lesions was compiled according to the presence or absence of the following sonographic components: septae, papillae, loculations, daughter cysts, solid mass, or fluid, and their relationship to malignancy.

Laparoscopic management of selected solid adnexal tumors

“…1); 281 cases were treated by laparotomy and 957 cases by laparoscopic surgery. By image-diagnostic tumor pattern [6][7][8], the presence of massive ascites, and elevated serum tumor markers, 26 cases suggesting apparent epithelial malignancy were excluded; these cases were finally diagnosed as malignant by histopathological diagnosis. Twenty-eight cases were then diagnosed as solid/predominantly solid nonepithelial adnexal tumors by ultrasonography, and further evaluation of tumor characteristics was made by CT/MRI scan.…”

“…These tumors are clinically classified as benign, low-malignant-potential, and malignant tumors. By diagnostic imaging procedures, these same tumors are classified according to the internal echogenicity as cystic, solid, and mixed tumors [6,7]. Ovarian tumors that show a solid/predominantly solid pattern on ultrasonography comprise 15-20% of all ovarian neoplasms.…”

“…Preoperative evaluation of adnexal tumor was first done by transvaginal and transabdominal ultrasound to categorize tumors according to the internal echogenic pattern [6,7]. Tumors that showed a solid/predominantly solid pattern were further evaluated.…”

“…However, laparoscopic surgery for either suspicious or malignant conditions remains controversial [3][4][5]. Cases of solid/predominantly solid adnexal tumor first diagnosed by ultrasonography include various natures of neoplastic conditions from benign to malignant [6,7], and laparotomy is the usual approach to such cases. However, if cases are appropriately selected by careful evaluation of tumor characteristics [8,9] before and during surgery, management of solid adnexal tumor by laparoscopic surgery becomes possible [10][11][12].…”

Endometrioma and ART: Does the Needle Work?

“…A corpus luteum cyst looks somewhat like an octopus, in that the center is occupied by a blood clot and some highly echogenic branches ramify into the cystic fluid. 7 In the presence of persistent endometrioma after 2 to 3 months at a transvaginal ultrasound scan, either cyst aspiration or administration of depot preparation of GnRH agonist or both cyst aspiration and depot preparation of GnRH agonist administration was done. The cyst aspiration was performed with USG guidance under general anesthesia.…”