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Chapter 8 - Sonographic Assessment of Ovarian Cysts and Masses

Published online by Cambridge University Press:  28 February 2020

Kanna Jayaprakasan ,
Lukasz Polanski  and
Kamal Ojha
By
Shama Puri
Kanna Jayaprakasan
Affiliation:
Department of Maternity and Gynaecology, Royal Derby Hospital, Derby
Lukasz Polanski
Affiliation:
Assisted Conception Unit, Guy’s Hospital, London
Kamal Ojha
Affiliation:
Department of Obstetrics and Gynecology, St George's University Hospital, London
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Summary

Pelvic ultrasound remains the single most effective method for detection and characterization of adnexal masses . While transvaginal ultrasound provides optimal visualization, it has limited field of view; larger masses, which extend up into the abdomen, are best assessed by both transvaginal and transabdominal scan. Colour or power Doppler is useful in detecting flow in apparent solid areas and septations. The majority of adnexal masses are benign, particularly in premenopausal women. The vast majority of benign adnexal masses have characteristic ultrasound features to allow correct diagnosis in 90 per cent of women . Ultrasound assessment of the morphological and vascular features of a mass has been shown to be highly effective for predicting whether a mass is benign or malignant. Accurate characterization of adnexal masses is essential for optimal patient management.

Type
Chapter
Information
Gynaecological Ultrasound Scanning
Tips and Tricks
 , pp. 100 - 120
Publisher: Cambridge University Press
Print publication year: 2020

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