Transvaginal sonography of postmenopausal ovaries with pathologic correlation.

• DOI: 10.7863/jum.1990.9.11.637
• Publication Date: 2017-01-09T22:05:53Z
• Authors: A C Fleischer; M S McKee; A N Gordon; D L Page; D M Kepple; J A Worrell; H W Jones; L S Burnett; A E James
• Keywords: Mucinous cystadenoma; Transvaginal sonography; Serous cystadenocarcinoma

The sonographic appearance of 67 ovaries in 34 postmenopausal women who underwent preoperative transvaginal sonography (TVS) was correlated to findings on pathologic examination. Both were detected by TVS 60% the examined; 85%, at least one ovary detected. size normal, sonographically visualized 2.2 +/- 0.7 cm transverse, 1.2 0.3 anteroposterior, and 1.1 0.6 longitudinal axes, with an average volume 2.6 2.0 cm3. that not x 0.4 (range, 1.3 cm); most these (five six) atrophic exam. difference between actual measured negligible (TVS overestimated cm). Four simple cysts ranged from 0.5 3.5 found confirmed pathologically, as three benign serous cystadenomas 2.5 cm, 3 6-cm tubal carcinoma, 1 X 4-cm paratubal cyst. missed a dermoid, 2.5-cm cystadenoma, 0.8-cm Sertoli cell tumor, 0.5-cm fibrothecoma nonpalpable but None lesions palpable preoperatively. positive predictive value 94% for detection ovarian mass; negative exclusion lesion 92%. It is concluded can accurately delineate most, all, only rarely will be TVS.