What is the role of Doppler ultrasonography in the workup of borderline ovarian cancer?

Updated: Mar 18, 2019
  • Author: Andrew E Green, MD; Chief Editor: Warner K Huh, MD  more...
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Preoperative transvaginal color Doppler ultrasonography has been used to assess the possibility of malignancy in ovarian masses. The rate of detection of intratumoral blood flow in borderline tumors (90%) is similar to that of malignant neoplasms (92%). The resistance and pulsatility indexes are also significantly reduced in carcinoma and borderline ovarian tumors compared with those of benign tumors.

Although ultrasonography is useful in identifying the mass, this medium is not currently able to predict the final pathology of the tumor. It is neither sensitive nor specific enough to be used as a screening tool in the normal populations.

A multicenter, prospective, cohort study by Froyman et al estimated the incidence of cyst malignancy two years after adnexal masses were classified as benign on ultrasound. The study reported that the finding of invasive malignancy for a borderline tumor at surgery was 0.3%. [5]

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