Objectives: To analyze prospectively the ability of ultrasound to detect metastatic omentum in patients with suspicious pelvic masses and to describe the sonographic features of metastatic omental disease. Methods: One hundred and eighty-four patients were evaluated preoperatively by ultrasound examination and of these 173 were used in the analysis. We defined as an ultrasound-positive examination one which visualized intra-abdominal aperistaltic solid tissue, located above the bowel loops and below the anterior peritoneal surface. Preoperative sonographic findings were compared with pathological results. Results: Sonographic detection of metastatic omentum was achieved in 104 of 173 patients (60.1%), appearing as either solid aperistaltic tissue (80.8% of cases), or as solid discrete nodules (19.2%). When considering the echostructure of the surrounding bowel loops, this tissue appeared hypoechoic in 46 (44.2%) cases and isoechoic or slightly hyperechoic in the other 58 (55.8%) cases. In the overall series, the negative and positive predictive values (NPV and PPV) and the accuracy of ultrasound examination were 92.7%, 91.3% and 91.9%, respectively. When considering only the group of ovarian tumors, the NPV, PVC and accuracy were 91.9%, 94.6%, and 93.8%, respectively. Conclusion: Ultrasound examination is highly accurate in detecting metastatic omental involvement in cases with suspicious pelvic masses

Ultrasound and color power Doppler in the detection of metastatic omentum: a prospective study / Testa, A. C; Ludovisi, M; Savelli, L; Fruscella, E; Ghi, Tullio; Fagotti, A; Scambia, G; Ferrandina, G.. - In: ULTRASOUND IN OBSTETRICS & GYNECOLOGY. - ISSN 0960-7692. - 27:1(2006), pp. 65-70-70. [10.1002/uog.2673]

Ultrasound and color power Doppler in the detection of metastatic omentum: a prospective study

GHI, Tullio;
2006-01-01

Abstract

Objectives: To analyze prospectively the ability of ultrasound to detect metastatic omentum in patients with suspicious pelvic masses and to describe the sonographic features of metastatic omental disease. Methods: One hundred and eighty-four patients were evaluated preoperatively by ultrasound examination and of these 173 were used in the analysis. We defined as an ultrasound-positive examination one which visualized intra-abdominal aperistaltic solid tissue, located above the bowel loops and below the anterior peritoneal surface. Preoperative sonographic findings were compared with pathological results. Results: Sonographic detection of metastatic omentum was achieved in 104 of 173 patients (60.1%), appearing as either solid aperistaltic tissue (80.8% of cases), or as solid discrete nodules (19.2%). When considering the echostructure of the surrounding bowel loops, this tissue appeared hypoechoic in 46 (44.2%) cases and isoechoic or slightly hyperechoic in the other 58 (55.8%) cases. In the overall series, the negative and positive predictive values (NPV and PPV) and the accuracy of ultrasound examination were 92.7%, 91.3% and 91.9%, respectively. When considering only the group of ovarian tumors, the NPV, PVC and accuracy were 91.9%, 94.6%, and 93.8%, respectively. Conclusion: Ultrasound examination is highly accurate in detecting metastatic omental involvement in cases with suspicious pelvic masses
Ultrasound and color power Doppler in the detection of metastatic omentum: a prospective study / Testa, A. C; Ludovisi, M; Savelli, L; Fruscella, E; Ghi, Tullio; Fagotti, A; Scambia, G; Ferrandina, G.. - In: ULTRASOUND IN OBSTETRICS & GYNECOLOGY. - ISSN 0960-7692. - 27:1(2006), pp. 65-70-70. [10.1002/uog.2673]
File in questo prodotto:
File Dimensione Formato  
metastatic omentum 2006.pdf

solo utenti autorizzati

Descrizione: articolo principale
Tipologia: Altro materiale allegato
Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 149.52 kB
Formato Adobe PDF
149.52 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2784543
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 12
  • ???jsp.display-item.citation.isi??? 12
social impact