PubMed1998
In this report the authors have analyzed and presented the results of his 7 years-long research focused on estimating the usefulness of ultrasonography in diagnosing adnexal pathology. Special attention was devoted to: 1. specifying location of change, establishing whether it covered one or two of the ovaries, 2. asserting the extend of change, 3. finding whether the tumor was well capsuled or not and whether the papillary projections were present and if so, establishing if they were endo- or egzofitic, 4. estimating its structure (cystic, solid, partly cystic partly solid) and establishing the presence of calcification, 5. evaluating metastases presence (in uterus, true pelvis, omentum, liver and the lymph nodes), 6 ascites assessment. There were 341 females who underwent examination before operation between 1991-1997 who were suspected of ovarian tumors and whose status was operationally verified. Results of this research were statistically analyzed. This analysis covered the calculating of mean and standard deviation, the frequency of special category presence and conducting evaluation of malignant tumors' presence frequency. On the basis of research results obtained and the statistical analyses performed, the following conclusions have been formulated: 1. Malignant tumors characistically co-exist more frequently with the following ultrasonographics traits: thick capsule of diversified thickness, with irregular outline, solid or partly solid partly cystic structure, unhomogenous internal echogenisity and multilocular character. 2. Ultrasonography is complementary to gynecological examination but allows for earlier detection of small and soft tumors.