Transvaginal ultrasound-guided ovarian endoscopy: a novel approach to the assessment of ovarian tumors.
The investigation of ovulatory dysfunction and the characterization of ovarian cystic tumors remain two major problems in gynecology. One of our limitations is the resolution of imaging techniques currently available. We describe the use of a fiberoptic endoscope to inspect the internal appearance of five different ovarian cystic lesions under the guidance of transvaginal ultrasound. The images obtained allow the operator to visualize structures of less than 1.0 mm in diameter, and so introduce the possibility of identifying both the cumulus oophorus in younger women, and very small papillary projections within potentially malignant ovarian cysts.
Granberg
S
S
Academic Department of Obstetrics and Gynecology, Sahlgren Hospital, Göteborg, Sweden.
Wikland
M
M
Bourne
T H
TH
Hamberger
L
L