Abstract

ALVAREZ SANCHEZ, Aida de la Caridad. Ultrasonography and pathologic histology correlation of ovarian tumors. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.1, pp. 86-96. ISSN 1561-3062.

OBJECTIVE: to demonstrate the ultrasound (US) value in ovarian tumors diagnosis, to describe from the sonography point of view, the features of ovarian masses according to its structure and size, to identify its probable benign, malignant or doubtful origin by sonography description. To analyze how is the behavior of different pathologic histology varieties. METHODS: medical records from the "10 de Octubre" Clinical Surgical Hospital files over past 5 years of all patients operated on with a clinical-ultrasonography diagnosis of an adnexal mass where the histopathology results was a ovarian tumor. RESULTS: The malignant tumors were more frequent in ages over 60 years. There was a high correlation of patients presenting single cysts and thin septa and echoes and a benign anatomic-pathologic report. CONCLUSIONS: the more frequent ultrasonography presentation of malignant tumors was of complex type with echo-lucid predominance and the complex one with echogenic predominance. Most of malignant tumors had a diameter over 10 cm. In the benign tumor series the more frequent histological variety was the serous cystoadenoma and in that of malignant ones the serous cystoadenocarcinoma. Ultrasound had a high sensitivity, specificity and a positive predictive value.

Keywords : Cystadenoma; cystoadenocarcinoma; teratoma; ultrasound-histologycal correlation.

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