DIFFERENTIAL-DIAGNOSIS OF OVARIAN-TUMORS BY TRANSVAGINAL COLOR-PULSE DOPPLER SONOGRAPHY

被引:22
作者
KAWAI, M [1 ]
KIKKAWA, F [1 ]
ISHIKAWA, H [1 ]
TAMAKOSHI, K [1 ]
MAEDA, O [1 ]
HASEGAWA, N [1 ]
MIZUNO, K [1 ]
SUZUKI, A [1 ]
ITAKURA, A [1 ]
NAKASHIMA, N [1 ]
TOMODA, Y [1 ]
机构
[1] NAGOYA UNIV,SCH MED,DEPT LAB MED,NAGOYA,AICHI 466,JAPAN
关键词
D O I
10.1006/gyno.1994.1195
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
To investigate the clinical significance of transvaginal color-pulse Doppler sonography in ovarian tumors, 109 patients were examined at Nagoya University Hospital. Ultrasonographic patterns were classified and the levels of three circulating tumor markers, CA125, CA72-4, and CA19-9, were simultaneously evaluated. In differentiating benign and malignant ovarian tumors, transvaginal color-pulse Doppler and ultrasonographic pattern classification were superior to the tumor markers. Of 49 cases with benign pattern, 45 were benign (91.8%). Of 60 cases with malignant pattern, 24 (40%) were benign and 36 (60%) were malignant or borderline malignant. In this group color-pulse Doppler sonography was the most useful procedure, and sensitivity, specificity, and accuracy were 75.0, 79.2, and 76.7%, respectively. Menopausal status and site of the arterial wave form in the tumor were also important. Transvaginal color-pulse Doppler sonography was a reliable diagnostic method for differentiating ovarian tumors. (C) 1994 Academic Press, Inc.
引用
收藏
页码:209 / 214
页数:6
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