[Gynecological ultrasound is of uncertain value in screening]

In the past ten years, gynecological ultrasonography has proliferated rapidly, and is by some gynecologists considered an integral part of the gynecological exam. Abnormalities are detected in a asymptomatic women at a high rate, resulting in a number of surgical interventions due to suspected malignancy. Present evidence is insufficient to determine the medical and economical value, if any, of surgical removal. Such intervention may in fact be as detrimental as leaving an abnormality in place. Gynecological ultrasonography should therefore be performed on strict medical indications. Proper training of operators is also vital.