College of Medicine, Alfaisal University, Riyadh, Saudia Arabia.
Department of Pathology and Immunology, Washington University in St Louis School of Medicine, St Louis, MO.
Ultrasound Q. 2024 Aug 22;40(3). doi: 10.1097/RUQ.0000000000000691. eCollection 2024 Sep 1.
The risk of malignancy in nonvisualized ovaries on pelvic ultrasound is presumed to be close to zero per imaging correlation; the goal of this manuscript is to define the risk of malignancy in nonvisualized ovaries on pelvic ultrasound as defined by surgical pathology. Records for patients with pelvic ultrasound and surgical pathology containing the word "ovary" or "ovaries" performed at our institution between 10/1/2015 and 9/30/2021 were reviewed. Data for ovarian visualization were extracted from the radiology report and correlated with surgical pathology results within each ovary. Eighty-seven ovaries in 71 patients out of 422 ovaries (20.6%) in 215 eligible patients were not visualized on ultrasound. Twenty ovaries were excluded because imaging showed large pelvic mass, and 19 ovaries were excluded because surgical pathology for the ovary of interest was not available. A total of 48 ovaries in 37 patients were nonvisualized and had available surgical pathology. Out of 48 nonvisualized ovaries, 31 were normal on surgical pathology and 17 had abnormalities, with 15 benign lesions (12 of which were ≤1 cm in size). Two ovaries in 1 patient contained malignant lesions; although the ovaries were not visualized on ultrasound, the scan demonstrated peritoneal carcinomatosis. In conclusion, a high proportion of ovaries (20.6%, 87/422) are not visualized on pelvic ultrasound, and surgical pathology reveals ovarian lesions in 35.4% (17/48) of nonvisualized ovaries on pelvic ultrasound, with the majority being subcentimeter benign lesions. In the absence of peritoneal carcinomatosis, nonvisualized ovaries had no malignant lesions.
盆腔超声未显示的卵巢恶性肿瘤风险预计接近零；本文旨在根据手术病理结果定义盆腔超声未显示卵巢的恶性肿瘤风险。回顾了本机构于 2015 年 10 月 1 日至 2021 年 9 月 30 日期间进行的盆腔超声和包含“卵巢”或“卵巢”一词的手术病理记录。从放射科报告中提取卵巢显示数据，并在每个卵巢内与手术病理结果相关联。在 215 名符合条件的患者中的 422 个卵巢中，有 87 个卵巢（20.6%）在超声中未显示。20 个卵巢因影像学显示盆腔巨大肿块而被排除，19 个卵巢因感兴趣的卵巢手术病理结果不可用而被排除。共有 37 名患者的 48 个卵巢未被显示且有可用的手术病理结果。在 48 个未被显示的卵巢中，31 个在手术病理上正常，17 个有异常，其中 15 个良性病变（其中 12 个大小≤1cm）。1 名患者的 2 个卵巢含有恶性病变；尽管超声未显示卵巢，但扫描显示腹膜癌病。总之，盆腔超声有很大比例的卵巢（20.6%，87/422）未被显示，而手术病理显示盆腔超声未显示的卵巢中有 35.4%（17/48）有病变，其中大多数为亚厘米大小的良性病变。在没有腹膜癌病的情况下，未显示的卵巢没有恶性病变。
