Rodriguez M H, Platt L D, Medearis A L, Lacarra M, Lobo R A
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles.
Am J Obstet Gynecol. 1988 Oct;159(4):810-4. doi: 10.1016/s0002-9378(88)80142-x.
Ultrasonic evaluation has been suggested as a possible screening tool for early changes in ovarian morphology. This study uses transvaginal sonography to evaluate the ovaries in postmenopausal women who were scheduled for gynecologic surgery unrelated to adnexal disease. The findings of ultrasonic ovarian examination are compared with the findings at surgery and the pathologic evaluation of the ovaries. Nine (17.3%) abnormal ovaries were identified by ultrasonography and at surgery and were confirmed at pathologic examination. Among the abnormal ovaries there were one malignancy (10%) and two neoplasms with known malignant potential (20%). One ovary that was identified to have microscopic areas of Brenner tumor cells at pathologic examination was described as normal by both ultrasound and surgical evaluation. The sensitivity (90%) and specificity (100%) of vaginal sonography were the same as that of gross examination of the ovary at the time of surgery. We conclude that vaginal sonography is a reliable tool in the detection of early abnormalities in the postmenopausal ovary.
超声评估已被建议作为一种可能的筛查工具，用于检测卵巢形态的早期变化。本研究采用经阴道超声检查来评估计划进行与附件疾病无关的妇科手术的绝经后妇女的卵巢。将超声卵巢检查结果与手术结果及卵巢病理评估结果进行比较。通过超声检查和手术发现并经病理检查证实有9个（17.3%）异常卵巢。在这些异常卵巢中，有1例恶性肿瘤（10%）和2例具有已知恶性潜能的肿瘤（20%）。在病理检查中发现一个卵巢有布伦纳瘤细胞的微小区域，但超声和手术评估均将其描述为正常。阴道超声检查的敏感性（90%）和特异性（100%）与手术时卵巢大体检查相同。我们得出结论，阴道超声检查是检测绝经后卵巢早期异常的可靠工具。
