Pussell S J, Cosgrove D O, Hinton J, Wiltshaw E, Barker G H
Br J Obstet Gynaecol. 1980 Dec;87(12):1140-4. doi: 10.1111/j.1471-0528.1980.tb04487.x.
In a series of twenty-six patients with Stage III or IV carcinoma of the ovary, results of ultrasound examination of the pelvis and abdomen were correlated with second look laparotomy. All of these patients had responded clinically to a course of chemotherapy. Elective surgery was used to restage and debulk tumour. Ultrasound examination was done before surgery. Ultrasound was sensitive in detecting ovarian tumour in the pelvis and had an 84 per cent correlation with laparotomy. It was also sensitive in detecting liver and right diaphragmatic metastases with a 92 per cent correlation with the laparotomy findings. However, it consistently failed to detect intraperitoneal spread except when disease was gross or when it could be predicted by the presence of ascites. The correlation with laparotomy in this situation was only 36 per cent. This is to be expected as the size of most peritoneal deposits is below the resolution of ultrasound. These lesions, however, are easily detected by laparoscopy. These findings suggest that ultrasound has an important role in the management of advanced carcinoma of the ovary.
在一组26例患有III期或IV期卵巢癌的患者中，对盆腔和腹部进行超声检查的结果与二次剖腹探查结果进行了对比。所有这些患者对一个疗程的化疗均有临床反应。择期手术用于重新分期和切除肿瘤。在手术前进行了超声检查。超声在检测盆腔内的卵巢肿瘤方面很敏感，与剖腹探查的相关性为84%。它在检测肝脏和右膈转移方面也很敏感，与剖腹探查结果的相关性为92%。然而，它始终无法检测到腹膜内扩散，除非疾病严重或可通过腹水的存在进行预测。在这种情况下与剖腹探查的相关性仅为36%。这是可以预料的，因为大多数腹膜沉积物的大小低于超声的分辨率。然而，这些病变通过腹腔镜检查很容易被发现。这些发现表明超声在晚期卵巢癌的管理中具有重要作用。
