Gray-Scale Ultrasound in 204 Proved Gynecologic Masses: Accuracy and Specific Diagnostic Criteria

James W. Walsh, J W Walsh, Kenneth J. W. Taylor, K J Taylor, Jane F. Mcl. Wasson, J F Wasson, Peter E. Schwartz, P E Schwartz, Arthur T. Rosenfield, A T Rosenfield
Radiology · 1979 · vol. 130(2) , pp. 391–397 · doi:10.1148/130.2.391 · PMID:760155 · W2067842735
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Gray-scale ultrasound accurately diagnosed 56% of 204 gynecologic masses, with specific diagnostic criteria identified for various benign and malignant conditions and characteristic patterns for others.

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Abstract

Gray-scale ultrasound results are evaluated in 182 women with 204 histologically proved gynecologic masses. Ultrasound provided information leading to the correct diagnosis in 56% of cases, contributory data in 23%, and nonspecific information in 14%. Errors occurred in 6%. A specific histologic diagnosis was possible in selected patients with simple ovarian cysts, cystadenomas, cystadenocarcinomas, dermoids, uterine fibroids, ectopic and molar pregnancies, missed abortions, and endometriosis. A characteristic but nondiagnostic ultrasound pattern was associated with carcinoma of the uterus, recurrent carcinoma of the ovary, and pelvic abscesses. A nonspecific pattern was common in tubo-ovarian abscesses.

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Condition tags

endometriosis

MeSH descriptors

Genital Diseases, Female Genital Neoplasms, Female Ultrasonography Abortion, Missed Abortion, Missed Abscess Abscess Diagnosis, Differential Diagnostic Errors Evaluation Studies as Topic Female Genital Diseases, Female Genital Neoplasms, Female Humans Ovarian Cysts Ovarian Cysts Pregnancy Pregnancy, Ectopic Pregnancy, Ectopic Uterine Neoplasms

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