Sonographic Diagnosis of the Contralateral Ovary in Patients with Ovarian Tumor
난소종양환자의 반대측 난소 평가에 있어서 초음파검사의 역할
이, 은주; 정, 진영; 이, 창호; 서, 정호
Taehan Ch'oŭmp'a Ŭihakhoe chi, 18(1):59-65, 1999
Taehan Ch'oŭmp'a Ŭihakhoe chi; The journal of the Korean Society of Medical Ultrasound; Journal of Korean Society of Ultrasound in Medicine; 대한초음파의학회지
PURPOSE : To assess the usefulness of transvaginal sonography(TVS) in the
detection of normal contralateral ovary and disease involvement of contralateral ovary in the patients with ovarian tumor.
MATERIALS AND METHODS : We compared sonographic findings with histopathologic findings of the contralateral ovary retrospectively in 87 patients, who
underwent preoperative ultrasonography and laparotomy for ovarian tumor for recent 4
RESULTS : Abnormality of the contralateral ovary was confirmed in 49(56.3%) of 87
patients. The pathologic diagnoses of contralateral ovarian lesions were bilateral
involvement of the same disease in 39 patients, different tumor in four patients and non-tumorous lesion in six patients. Abnormal TVS findings of the contralateral ovary were detected in 34 of 49 patients, which shows diagnostic accuracy of 82.8%. The sensitivity and specificity were 69.4% and 100%, respectively. 15 cases which were not diagnosed by ultrasound were bilateral involvement of the same disease in 10 cases (1 serous cystadenoma, 2 cystadenocarcinoma with low malignant potential. 1 brenner
tumor, 1 metastatic endometrioid cancer, 1 metastasis, 4teratoma) and different lesions in the remaining 5 patients (2 ndosalpingiosis, 1 surface inclusion cyst, 2 tuboovarian cyst).
CONCLUSION : Ultrasound of the contralateral ovary in the patients with ovarian
tumor shows low to a moderate degree sensitivity and accuracy. So, more intensive and targeted evaluation of contralateral ovary is needed for the more accurate diagnosis and proper treatment.
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