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F09Detection of pelvic recurrent disease with transvaginal color‐Doppler analysis in women treated for gynecologic malignancy
Author(s) -
Testa A. C.,
Ciampelli M.,
Mastromarino C.,
Lopez R.,
Mancuso S.,
Scambia G.
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.1469-0705.2000.00015-1-9.x
Subject(s) - medicine , malignancy , pelvis , color doppler , radiology , lesion , ultrasound , nuclear medicine , ultrasonography , surgery
Background To evaluate Color Doppler characteristics of small tumor recurrences detected within the pelvis in follow‐up patients treated for gynecologic malignancy. Method Out of 310 patients monitored for gynecologic malignancy, a selected group of 14 patients, with small size pelvic masses located in the central region of the pelvis detected by transvaginal ultrasound, underwent a color Doppler evaluation. A subjective assessment of the vascularization (vascular score), the lowest Resistance Index (RI), the highest Peak Velocity (PV) and the highest Time Averaged Maximum Velocity (TAMXV) of the vessels detected within the lesion were considered for the analysis. Results Color score of tumor recurrences (No 7) was significantly higher in comparison to benign lesions (No 7) (2.6 ± 0.5 vs. 2 ± 0, P < 0.05). The malignant lesions showed significantly higher mean values of PV and TAMXV when compared to benign ones (17.9 ± 4.3 cm/s vs. 7.5 ± 3 cm/sec, P < 0.0001; 9.7 ± 2.2 cm/s vs. 3.5 ± 3 cm/s, P < 0.01). Conclusions Color Doppler analysis added to transvaginal ultrasonography seems to be an helpful tool in the evaluation pelvis at an early stage of recurring tumor in the pelvis.