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

Authors:
  • JWJames W. Walsh
    James W. Walsh
  • KTKenneth J. W. Taylor
    Kenneth J. W. Taylor
  • JWJane F. Mcl. Wasson
    Jane F. Mcl. Wasson
  • PSPeter E. Schwartz
    Peter E. Schwartz
  • ARArthur T. Rosenfield
    Arthur T. Rosenfield
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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.