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. 1996 Aug;175(2):428-34.
doi: 10.1016/s0002-9378(96)70157-6.

Preoperative evaluation of ovarian tumors in the premenopause by transvaginosonography

R G Osmers  1 , M Osmers, B von Maydell, B Wagner, W Kuhn
Affiliations

Preoperative evaluation of ovarian tumors in the premenopause by transvaginosonography

R G Osmers et al. Am J Obstet Gynecol. 1996 Aug.

Abstract

Objective: The aim of the study was to establish reproducible sonomorphologic criteria by use of transvaginosonography in the preoperative evaluation of ovarian tumors in the premenopause.

Study design: In a prospective study from 1987 to 1993 we investigated 1072 ovarian tumors. All tumors > or = 3 cm were included in the study. To avoid unnecessary operations, all tumors we rescanned after 6 weeks. The sonomorphologic criteria were correlated with the histologic findings.

Results: A total of 4.3% of ovarian tumors in the premenopause were malignant. In the special group of sonographically simple ovarian cysts we found 0.8% malignancies. The incorporation of a control scan after 6 weeks in the management of ovarian cysts reduces the number of unnecessary operations on functional cysts. Only 5.5% of the functional tumors were operated on. The risk for malignancy in cystic-solid ovarian tumors is 17.0%, the highest of all sonomorphologic tumor types.

Conclusions: The use of reproducible sonomorphologic criteria in combination with a control scan in premenopausal women with ovarian cysts proved to be efficient to reduce the number of unnecessary operations and to evaluate the risk for malignancy.

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