On basis of ultrasonographic structural criteria and Doppler flowmetry in a
group of 76 patients with ovarian cancer, benign lesions were discovered i
n 59 patients and malignant lesions in 17 patients (77.6% and 22.4%, respec
tively). Surgical intervention was indicated according to the clinical find
ings and following of the trend of organ-specific oncomarkers in 32 out of
76 patients (42.1%). The stratification involved 17 patients with sonomorph
ologically/Doppler-flowmetry - diagnosed malignancy as well as 15 patients
with sonographically diagnosed benign ovarian tumor. The clinical findings
were histologically verified in all 32 patients. Histology confirmed malign
ant tumor in 16 patients, 1 histologically borderline malignancy and 15 ben
ign tumors. The Doppler-flowmetry showed 94.1% sensitivity, 93.3% specifici
ty, 93.3% positive predictive value, and 93.75% accuracy.