Introduction. Transvaginal color and pulsed Doppler can detect areas o
f neovascularization within the tubal carcinoma and can distinguish it
from other benign adnexal pathology. Subjects and methods. During a 7
-year period eight cases of Fallopian tube carcinoma were detected usi
ng transvaginal color and pulsed Doppler. Results. Transvaginal sonogr
aphy revealed complex, sausage-shaped, and/or cystic structures in the
adnexal region. Additional color Doppler examination depicted low vas
cular impedance (RI ranged from 0.29 to 0.40). Histopathology reported
different types of Fallopian tube carcinoma. Conclusion. Transvaginal
color Doppler may aid in diagnosis of Fallopian tube malignancy more
reliably than using other costly diagnostic procedures. (C) 1998 Acade
mic Press.