Seventy-six women with ovarian masses first detected with two-dimensio
nal (2D) ultrasound were then evaluated with three-dimensional (3D) ul
trasound, Two-dimensional ultrasound detected four of five ovarian mal
ignancies. One additional ovarian carcinoma was diagnosed by 3D scanni
ng, Observation of papillary projections, characteristics of cystic wa
lls, and the extent of capsular infiltration of tumors was superior wi
th 3D ultrasound; as was the calculation of ovarian volume. Fifty-seve
n of the women studied underwent surgery within 7 days of 3D ultrasoun
d evaluation, Histologic examination of surgical specimens confirmed t
he 3D sonographic diagnoses, There was one false positive and one fals
e negative diagnosis with 2D ultrasound, All cases of ovarian malignan
cy were diagnosed correctly with 3D ultrasound. (C) 1995 Academic Pres
s, Inc.