Ultrasound has a crucial role to play in gynaecology and specifically gynaecological oncology. One of the particular issues relating to ultrasound more than other imaging modalities is the experience and skill of the ultrasonographer to identify and diagnose clinical conditions from the dynamic images in front of them. An understanding of the presentation, symptoms and signs of gynaecological cancers can help the ultrasonographer in interpreting the images and assist the referring clinician.
DonaldI, MacVicarJ, BrownT. Investigation of abdominal masses by pulsed ultrasound. Lancet1958;7:1188–95
2.
Department of Health. See http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4012290.pdf (last checked 27 July 2010)
3.
Office of National Statistics. See http://www.statistics.gov.uk/pdfdir/canuk0809.pdf (last checked 31 May 2010)
Smith-BindmanR, KerlikowskeK, FeldsteinVA, Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities. JAMA1998;280:1510–17
6.
GenazzaniAR, GadducciA, GambaccianiM. Controversial issues in climacteric medicine 2: hormone replacement therapy and cancer. International Menopause Society Expert Workshop. 9–12 June 2001, Opera del Duomo, Pisa, Italy. Climacteric2001;4:181–93
7.
GranbergS, YlostaloP, WiklandM, KarlssonB. Endometrial sonographic and histologic findings in women with and without hormone replacement therapy suffering from postmenopausal bleeding. Maturitas1997;27:35–40
8.
Smith-BindmanR, WeissE, FelddsteinV. How thick is too thick? When endometrial thickness should prompt biopsy in postmenopausal women without vaginal bleeding. Ultrasound Obs Gynecol2004;24:558–65
9.
HamiltonW, PetersTJ, BankheadC, SharpD. Risk of ovarian cancer in women with symptoms in primary care: population based case-control study. BMJ2009;339:2998
10.
Department of Health. See http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_110533.pdf (last checked 27 July 2010)
11.
JacobsI, OramD, FairbanksJ, TurnerJ, FrostC, GrudzinskasJG. A risk of malignancy index incorporating CA125, ultrasound and menopausal status for the accurate preoperative diagnosis if ovarian cancer. Br J Obstet Gynaecol1990;97:922–9
12.
GranbergS, WiklandM, JanssonI. Macroscopic characterization of ovarian tumours and the relation to the histological diagnosis: criteria to be used for ultrasound evaluation. Gynecol Oncol1989;35:139–44
13.
ValentinL, HagenB, TingulstadS, Eik-NesS. Comparison of ‘pattern recognition’ and logistic regression models for discrimination between benign and malignant pelvic masses: a prospective cross validation. Ultrasound Obstet Gynecol2001;18:357–65
14.
ValentinL. Personal communication, Malmo figures 1996–1997
15.
TimmermanD, TestaAC, BourneT, Simple ultrasound-based rules for the diagnosis of ovarian cancer. Ultrasound Obstet Gynecol2008;31:681–90
16.
MenonU, Gentry-MaharajA, HallettR, Sensitivity and specificity of multimodal and ultrasound screening for ovarian cancer, and stage distribution of detected cancers: results of the prevalence screen of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). Lancet Oncol2009;10:327–40
17.
ChenLM, YangKY, LittleSE, CheungMK, CaugheyAB. Gynecologic cancer prevention in Lynch syndrome/hereditary nonpolyposis colorectal cancer families. Obstet Gynecol2007;110:18–25
18.
Van der ZeeAG, OonkMH, De HulluJA, Sentinel node dissection is safe in the treatment of early stage vulvar cancer. J Clin Oncol2008;26:884–9
19.
LandR, HerodJ, MoskovicE, Routine computerized tomography scanning, groin node ultrasound with or without fine needle aspiration cytology in the surgical management of primary squamous cell carcinoma of the vulva. Int J Gynecol Oncol2006;16:312–17
20.
LifshitzS. Ascites, pathophysiology and control measures. Int J Radiat Biol Phys1982;8:1423–6
MacdonaldR, KirwanJ, RobertsS, GrayD, AllsoppL, GreenJ. Ovarian cancer and ascites: a questionnaire on current management in the United Kingdom. J Palliat Med2006;9:1264–70
23.
DecruzeSB, MacdonaldR, SmithG, HerodJ. Paracentesis in ovarian cancer: a study of the physiology during free drainage of ascites. J Palliat Med2010;13:251–4
24.
OpolskieneG, SladkeviciusP, JokubkieneL, ValentinL. Three-dimensional ultrasound imaging for discrimination between benign and malignant endometrium in women with post menopausal bleeding and sonographic endometrial thickness of at least 4.5 mm. Ultrasound Obstet Gynecol2010;35:94–102
25.
ChaseDM, CradeM, BasuT, SaffariB, BermanML. Preoperative diagnosis of ovarian malignancy: preliminary results of the use of 3-dimensional vascular ultrasound. Int J Gynecol Oncol2009;19:354–60
26.
ChouCY, HsuKF, WangST, Accuracy of three-dimensional ultrasonography in volume estimation of cervical carcinoma. Gynecol Oncol1997;66:89–93
27.
HsuKF, SuJM, HuangSC, Three-dimensional power Doppler imaging of early stage cervical cancer. Ultrasound Obstet Gynecol2004;24:664–71
28.
PlanteM, RenaudMC, FrancoisH, RoyM. Vaginal radical trachelectomy: an oncologically safe fertility-preserving surgery. An updated series of 72 cases and review of the literature. Gynecol Oncol2004;94:614–23
