Oct 6, 2013 - The ultrasound examiner assigned a specific diagnosis to the ovarian lesions on the basis of subjective evaluation of the ultrasound image.
6–9 October 2013, Sydney, Australia
Oral communication abstracts
OC14.05 Clinical and US features of EOC
Patient’s age* Asymptomatic CA-125** Early stage Bilaterality Tumor volume** Solid US appearance
EOC type I
EOC type II
p value
49.8 years 43.3% 78.9 UI/mL 71.6% 16.4% 523.3 mL 13.4%
57.3 years 28.2% 490.0 UI/mL 10.7% 36.2% 98.1 mL 42.9%
OC14.06 The prevalence of ovarian lesions in asymptomatic postmenopausal women L. Jokubkiene, P. Sladkevicius, L. Valentin ˚ University Department of Obstetrics and Gynecology, Skane Hospital, Malmo, ¨ Sweden Objectives: To estimate the prevalence of abnormal findings in the ovaries in asymptomatic postmenopausal women. Methods: 502 asymptomatic postmenopausal women 52–59 years old with no previous gynecological problems recruited from a Swedish population registry underwent transvaginal ultrasound scan. The ultrasound appearance of ovarian lesions detected was described using the IOTA terminology. Unilocular cysts ≥ 20mm and all other types of lesions regardless of size were defined as ovarian lesions and were scheduled for follow-up by an ultrasound expert after 3–4 months. Intraovarian unilocular anechoic cystic structures with smooth walls and a diameter of 2–19 mm were noted but were not considered as lesions. The ultrasound examiner assigned a specific diagnosis to the ovarian lesions on the basis of subjective evaluation of the ultrasound image. Results: 21 (4.2%) women had an ovarian lesion and two of them had bilateral lesions: 6 unilocular, 4 unilocular-solid, 9 multilocular and 4 multilocular-solid ovarian lesions. One lesion had disappeared at the follow-up examination, 19 were unchanged, one had become smaller and two bigger. The ultrasound diagnoses of the expert at the follow-up scan were simple cyst (n=7), dermoid cyst (n=2), cystadenofibroma (n=6), borderline ovarian tumor (n=1), borderline paraovarian cyst (n=1), hydrosalpinx (n=1), and benign cyst without a specified diagnosis (n=5). The histological diagnosis in 4 (19%) women (2 of whom had a preoperative diagnosis of borderline tumor) who underwent surgery was: dermoid cyst (n=1), cystadenoma (n=1), cystadenofibroma (n=1) and paraovarian simple cyst (n=1). 95 (19%) of the 502 women had intraovarian unilocular smooth walled anechoic cystic structures 2–19 mm. Conclusions: The prevalence of ovarian lesions in asymptomatic postmenopausal women 52–59 years old with no previous gynecological problems was relatively high (one in 25 women). Intraovarian cystic anechoic structures
