Ultrasound of Adnexal Masses

Joshi, Mukund; Ganesan, Karthik; Munshi, Harsha Navani; Ganesan, S; Lawande, Ashwin

doi:10.1053/j.sult.2008.01.004

Cited by 20 publications

(18 citation statements)

References 33 publications

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“…Those masses were commonly found on daily pelvic sonographic examinations and were complex due to the changes in menstrual cycles, disease durations, and other pelvic diseases. Sonographic characteristics of these masses were abnormal and various, as the same sonograms may have shown different diseases, and different sonograms may have shown the same disease 3 , 20 , 21 . Differential diagnosis between benign and malignant masses was then needed to treat patients accordingly.…”

Section: Discussionmentioning

confidence: 99%

Combination of 2‐ and 3‐Dimensional Contrast‐Enhanced Transvaginal Sonography for Diagnosis of Small Adnexal Masses

Xiang

et al. 2014

J of Ultrasound Medicine

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Objectives The purpose of this study was to evaluate the efficacy of the combination of 2‐dimensional (2D) and 3‐dimensional (3D) contrast‐enhanced sonography in discriminating between benign and malignant small adnexal masses. Methods Selected patients were evaluated with both 2D and 3D contrast‐enhanced sonography after conventional sonography before undergoing any surgery. Time‐intensity curves for 2D contrast‐enhanced sonography were constructed by using contrast‐enhanced sonographic software. A vascular perfusion characteristic analysis was achieved by 2D and 3D contrast‐enhanced sonography. Results were finally verified by surgery. Results Forty‐seven cases of benign and 10 cases of malignant small adnexal masses were discovered. Significant differences in perfusion patterns, time‐intensity curve shapes for 2D contrast‐enhanced sonography, grayscale contrast‐enhanced sonography, and blood flow imaging on 3D contrast‐enhanced sonography were observed between benign and malignant masses (P< .05). Two‐dimensional contrast‐enhanced sonography, 3D contrast‐enhanced sonography, parallel combination of 2D and 3D contrast‐enhanced sonography, and serial combination of 2D and 3D contrast‐enhanced sonography all reached diagnostic sensitivity of 100% for discriminating benign from malignant masses, whereas specificity values were 61.7%, 63.8%, 68.1%, and 57.4%, respectively. Areas under the receiver operating characteristic curves were 0.809, 0.819, 0.840, and 0.787. Conclusions Two‐dimensional contrast‐enhanced sonography is of high value in distinguishing malignant from benign small adnexal masses; 3D contrast‐enhanced sonography provides richer and more useful information for evaluation of these masses. Diagnostic sensitivity of 100% can be achieved when using a serial combination of 2D and 3D contrast‐enhanced sonography, although specificity needs further improvement.

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Section: Discussionmentioning

confidence: 99%

Combination of 2‐ and 3‐Dimensional Contrast‐Enhanced Transvaginal Sonography for Diagnosis of Small Adnexal Masses

Xiang

et al. 2014

J of Ultrasound Medicine

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“…If solid components or papillary projections are present, the lesion may represent a borderline or malignant tumor. On US, the locules may be somewhat heterogeneous, with low-level echoes and differing echogenicity depending on the content of the locule 34 (Fig. 22).…”

Section: Cystadenofibromamentioning

confidence: 98%

Imaging of Benign Adnexal Masses: Characteristic Presentations on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging

Heilbrun

Olpin

Shaaban

2009

Clinical Obstetrics &Amp; Gynecology

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Adnexal masses are common in the general population. Although ovarian cancer is a significant cause of mortality, large screening studies demonstrate that the majority of adnexal masses are benign. These benign masses include physiologic cysts, paraovarian masses, and benign ovarian lesions. It is important that gynecologists and radiologists appreciate the appearance of these lesions on multiple imaging modalities, including ultrasound, computed tomography, and magnetic resonance imaging to avoid unnecessary intervention.

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“…The role of colour Doppler is now gaining importance and criteria for distinguishing between benign and malignant masses are often possible. Availability of a scoring system enables the differentiation of small adnexal masses [26].…”

Section: Ultrasoundmentioning

confidence: 99%