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Which is the role of color Doppler sonography in the diagnoses of malignancy in postmenopause ovaries carcinomas?
Author(s) -
Speca S.,
Summaria V.,
Costantini A. M.,
Marano P.
Publication year - 2001
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.1469-0705.2001.abs26-9.x
Subject(s) - medicine , color doppler , asymptomatic , malignancy , ovary , radiology , medical diagnosis , adenocarcinoma , cancer , nuclear medicine , gynecology , pathology , ultrasonography
Aim: To assess the reliability of B‐mode sonography signs in association with color Doppler (CDS) flow analysis in diagnosing the ovaries cancer in postmenopause women. Material and methods: We studied by sovrapubic and transvaginal sonography 400 consecutive female patients (age 48–64) from January 1996 to September 2000. All the patients were asymptomatic and under estro‐progestinic therapy (postmenopause). We evaluated the morphological, volumetric and sonography changes of the ovaries, in association with the angioarchitecture (absence or presence of a neovascularization; low impedence arterial flow with PI < 0.8 and RI < 0.4). Results: In the 710 ovaries studied, we diagnosed 37 benign lesions (25 cystis, eight cystic teratomas, and 14 unilateral hydrosalpinxes), all with no flow signal at CDS and four carcinomas (one bilateral ovaries adenocarcinoma, one endometrial adenocarcinomas, one hidrosalpinx with Walthard's nidus); all these last lesions showed a neovascularization with a RI < 0.4 and a PI < 0.8. Conclusion: Our study confirmed the validity of the CDS in the diagnoses of ovaries malignant lesions, above all if associated to high flow speed and low impedence flow rate.