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F70Evaluation of adnexal masses with three‐dimensional ultrasound
Author(s) -
Simic M.,
Kopjar M.,
Zadro M.,
Viskovic T.,
Knezovic N.,
Maricic I.,
Alvir I.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00015-1-70.x
Subject(s) - medicine , adnexal diseases , adnexal mass , ultrasound , ovary , teratoma , ovarian teratoma , radiology , frozen section procedure , polycystic ovary , laparoscopy , surgery , pathology , insulin resistance , obesity , endocrinology
Study objective To evaluate the use of 3D ultrasound in preoperative preparation for the laparoscopic operation of adnexal masses. Methods In last two years we have started with 3D ultrasound in preoperative evaluation of adnexal masses. Over that period we have had 187 adnexal masses evaluated with 3D ultrasound. Results At the period of first two years since we have performed 3D ultrasound we have had 14 tecofibroma ovarii, 2 Brener tumours, 10 cystadenoma, 14 ovarian carcinoma in different stages, 9 teratomas, 21 dermoid cysts, 62 endometrioid cysts and 55 simplex cysts of the ovary. All of those finding were confirmed at the time of operation (frozen section). Two dermoid cysts were estimated on ultrasound as a malignant disease of the ovary and frozen section finding was benign cystic teratoma. Conclusion Since we started to perform 3D ultrasound in estimation of adnexal masses before surgery (mostly laparoscopy) we have found that adnexal masses with 3D ultrasound verification of intracystic papilla for the patient in fertile period greater than 1.0 cm and for postmenopausal patient greater than 0.5 cm can be of clinical value in early diagnosis of ovarian carcinoma and appropriate therapy.