Assessment of ovarian tumor vascularity with transvaginal color Doppler sonography.

TitleAssessment of ovarian tumor vascularity with transvaginal color Doppler sonography.
Publication TypeJournal Article
Year of Publication1991
AuthorsFleischer AC, Rodgers WH, Rao BK, Kepple DM, Worrell JA, Williams L, Jones HW
JournalJ Ultrasound Med
Date Published1991 Oct
KeywordsAdolescent, Adult, Aged, Aged, 80 and over, Arteries, Colon, Diagnosis, Differential, Female, Humans, Middle Aged, Ovarian Cysts, Ovarian Diseases, Ovarian Neoplasms, Predictive Value of Tests, Ultrasonography

This report describes the results of transvaginal color Doppler sonography (TV-CDS) of 43 surgically proved ovarian masses. Waveform analyses of the signals arising from specific vessels (i.e., peripheral, central, septal) adjacent to and within these masses were correlated to those seen on macroscopic pathologic evaluation. The mean and standard deviation of the pulsatility indices (PI) of 32 benign lesions (1.8 +/- 0.8) were higher than 11 malignant ones (0.8 +/- 0.6) (P = 0.03). However, the range of benign (4.0 to 0.7) and malignant (1.5 to 0.4) lesions did overlap. Low PIs (less than 1.0) were found in five relatively benign lesions (one case each of dermoid cyst, cystadenoma containing a dermoid cyst, endometrioma, benign sclerosing stromal tumor, and thecoma), but also in all 11 malignant or borderline malignant lesions (nine cystadenocarcinomas, two germ cell tumors), causing an overlap between the PIs of some benign and malignant masses. With a 100% negative predictive value, our preliminary data suggest that TV-CDS can effectively exclude malignancy. However, with a positive predictive value of 73%, one in four malignant lesions diagnosed by TV-CDS will be benign.

Alternate JournalJ Ultrasound Med
PubMed ID1942222
Related Faculty: 
William Rodgers, M.D., Ph.D.

Pathology & Laboratory Medicine 1300 York Avenue New York, NY 10065 Phone: (212) 746-6464
Surgical Pathology: (212) 746-2700