How accurate is the pelvic examination as compared to transvaginal sonography? A prospective, comparative study.
Findings at pelvic examination in 120 patients were compared to those obtained by transvaginal sonography (TVS). Overall, 102 of 472 (22%) pelvic examination assessments did not agree with the TVS findings. Twenty-nine (36%) uterine assessments differed, while 46 (32%) ovarian assessments differed. Among 37 pelvic masses assessed in 20 cases (54%) the pelvic examination differed from the findings obtained by TVS. Only 4 (29%) cases assessed by pelvic examination were in agreement with the laparotomy findings as compared with 10 (71%) cases assessed by TVS.
Carter
J
J
Division of Gynecologic Oncology, University of Minnesota Hospital and Clinic, Minneapolis 55455.
Fowler
J
J
Carson
L
L
Carlson
J
J
Twiggs
L B
LB
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D010173:Palpation / Q000379:methods*; D010808:Physical Examination / Q000379:methods*; D011446:Prospective Studies; D015203:Reproducibility of Results; D014463:Ultrasonography; D014621:Vagina