CORRELATION OF HISTOMORPHOLOGY OF OVARIAN MASSES WITH COLOR DOPPLER SONOGRAPHY

This study correlates the color Doppler sonography (CDS) findings in o varian masses according to histomorphologic groups. Sixty-two surgical ly excised ovarian masses (31 benign and 31 malignant) in patients who underwent CDS were retrospectively reviewed. Lowest pulsatility index (PI) was used in benign and malignant unilocular cysts, septated cyst s, predominantly cystic masses with solid components, predominantly so lid masses with cystic areas and solid masses. The mean of the lowest PIs of benign lesions (1.7 +/- 0.7) were statistically significantly d ifferent (p < 0.05) from malignancies (0.7 +/- 0.3). The group of sept ated cysts (1.8 +/- 0.5 vs. 0.61 +/- 0.3) and predominantly cystic mas ses with solid areas (1.1 +/- 0.1 vs. 0.6 +/- 0.2) achieved statistica l significance for benign vs. malignant masses. Predominantly solid ma sses with cystic areas (1.8 +/- 0.5 vs. 0.8 +/- 0.2) and solid masses (1.4 +/- 1.0 vs. 0.7 +/- 0.3) were not statistically significantly dif ferent. Because of a limited number of cases, statistically significan t differences in the mean of the lowest PIs of benign vs. malignant un ilocular cysts (2.1 +/- 0.5 vs. 1.9) could not he determined. When ana lyzed according to histomorphology, CDS findings were of predictive va lue in certain morphologies and not as much in others. This fact shoul d he taken into account when evaluating an ovarian mass for malignancy with CDS.