Ultrasound evaluation of pelvic masses: Predictors of malignancy for the general gynecologist

John R. Van Nagell, Fred R. Ueland

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Recent data indicate that assessment of sonographically determined tumor volume and morphology is the most accurate means to differentiate benign from malignant ovarian tumors. Doppler flow studies generally have shown a lower impedance to flow in vessels supplying ovarian malignancies than in those associated with benign tumors. However, the overlap in pulsatility index and resistive index values of benign and malignant ovarian tumors, and the cost of this procedure, make its routine use impractical. In a postmenopausal woman with a sonographically confirmed ovarian tumor, a progressively rising serum Ca-125 is highly suspicious for malignancy.

Original languageEnglish
Pages (from-to)45-49
Number of pages5
JournalCurrent Opinion in Obstetrics and Gynecology
Volume11
Issue number1
DOIs
StatePublished - Feb 1999

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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