Ovarian Pathology: - Diagnosis and Management

The lack of standardization in gynaecological scanning is worrying, especially with regards to the sonographic evaluation and classification of anneal masses. The results of ongoing trials on the use of ultrasound as a screening test for ovarian cancer are likely to be affected by this lack of standardization in terminology and classifications. The lack of a high-quality gynecological ultrasound, combined with the low prevalence of ovarian cancer in the general population, may yield to a poor performance of transvaginal ultrasound as a screening test for ovarian cancer in large trials. In order to increase the specificity of ultrasound in a screening program, thus reducing unnecessary surgeries, a uniform, reproducible and accurate method for the sonographic evaluation of ovarian masses must be implemented. This move to improve and standardize reporting in gynaecological ultrasound should negate the need to use the phrase “complex ovarian mass”. Current terminology, newly proposed accepted morphological classification of ovarian cysts as well as the ability for ultrasound to discriminate between benign and malignant ovarian masses will be critically evaluated.

A/Prof George Condous from Omni Gynaecological Care

Supported by Bayer Schering

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