Document Detail


Transvaginal gray scale and color Doppler sonography in primary ovarian cancer and metastatic tumors to the ovary.
MedLine Citation:
PMID:  12636323     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare gray scale and color Doppler features of primary and metastatic ovarian carcinomas. METHODS: Clinical, sonographic (gray scale and color Doppler), and histopathologic data of 143 patients with primary (n = 127 adnexal masses) and metastatic (n = 34 adnexal masses) ovarian cancer were reviewed. Morphologic gray scale parameters assessed were bilaterality, tumor volume, echogenicity, and presence of septa, papillary projections, or solid areas. Color Doppler parameters were presence of blood flow, tumor blood flow location (central versus peripheral), subjective impression of blood flow amount (scanty, moderate, or abundant), lowest resistive index, lowest pulsatility index, and maximal peak systolic velocity (centimeters per second). RESULTS: No statistical differences were found in bilaterality, tumor volume, presence of septa, papillary projections or solid areas, presence of blood flow, tumor blood flow location, subjective impression of blood flow amount, lowest resistive index, lowest pulsatility index, and maximal peak systolic velocity. Metastatic carcinomas were more frequently purely solid tumors (47% versus 26%; P = .001; likelihood ratio, 2.4; 95% confidence interval, 1.2-4.7). CONCLUSIONS: The presence of a purely solid tumor indicates a higher probability of metastatic carcinoma than primary ovarian cancer. However, with the use of gray scale and color Doppler sonography, it is difficult to differentiate primary ovarian carcinomas from metastatic tumors to the ovary.
Authors:
Juan Luis Alcázar; María José Galán; Carolina Ceamanos; Manuel García-Manero
Related Documents :
16037713 - Effectiveness of vardenafil versus papaverine in penile doppler ultrasonography.
3058963 - Vascular patency of fibular free graft: assessment by doppler color-flow imager: a case...
6306883 - Haematology of indonesian large ruminants.
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  22     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-14     Completed Date:  2003-07-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Clínica Universitaria de Navarra School of Medicine, University of Navarra, Pamplona, Spain.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Blood Flow Velocity / physiology
Cystadenocarcinoma, Serous / diagnosis*,  physiopathology,  secondary*
Female
Humans
Menopause / physiology
Middle Aged
Neoplasm Staging
Neoplasms, Second Primary / diagnosis*,  physiopathology,  secondary*
Ovarian Neoplasms / diagnosis*,  physiopathology,  secondary*
Ovary / blood supply,  pathology,  ultrasonography*
Regional Blood Flow / physiology
Retrospective Studies
Spain
Ultrasonography, Doppler, Color*
Vagina / blood supply,  pathology,  ultrasonography*
Women's Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Dental disease prevention and people with special needs.
Next Document:  Three-dimensional sonographic morphologic assessment in complex adnexal masses: preliminary experien...