[Diagnosis of ovarian teratomas with two-dimensional ultrasound].
OBJECTIVE
To investigate the value of two-dimensional ultrasound in the diagnosis of tertoma in the ovary.


METHODS
The sonographic images of 278 cases of ovarian teratomas confirmed by surgical pathology were reviewed.


RESULTS
According to the surgical pathological results of the 278 cases, 95.3% (265/278) were benign, and 4.7% (13/278) were malignant. Among those, 88.5% (246/278) cases were unilateral, and 11.5% (32/278) were bilateral. Compared with the surgical pathological results, the rate of accurate diagnosis with ultrasound was 95.0% (264/278), the rate of misdiagnosis was 3.6% (10/278), and the rate of missed diagnosis was 1.4% (4/278). Among the benign cases, the rate of accurate dingnosis was 95.1% (252/265); the rate of misdiagnosis was 3.4% (9/265); and the rate of missed diagnosis was 1.5% (4/265). Among the 13 malignant cases, the rate of accurate diagnosis and misdiagnosis were 92.3% (12/13) and 7.7% (1/13), respectively.


CONCLUSIONS
Two-dimensional ultrasound can be the first choice in diagnosing teratoma. Although the sonographic images of ovarian teratoma have specialities, they should be differentiated from other ovarian tumors, such as chocolate cyst of ovary, denaturation of subserous myoma, inflammatory mass, and etc.
Chen
Qi-Neng
QN
Department of Obstetrics and Gynecology, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhang
Yu
Y
Tan
Jin-Xiu
JX
D000328:Adult; D003884:Dermoid Cyst / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D013724:Teratoma / Q000000981:diagnostic imaging*; D018615:Ultrasonography, Doppler, Color