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Updated: Aug 23, 2026

A Coregistered Ultrasound and Photoacoustic Imaging Protocol for the Transvaginal Imaging of Ovarian Lesions
Published on: March 3, 2023
Color Doppler ultrasound in ovarian fibrosarcoma
Hakan Kaya1, Mekin Sezik, Okan Ozkaya
1Department of Obstetrics and Gynecology, Suleyman Demirel University, School of Medicine, Isparta, Turkey. drhakankaya2002@yahoo.com
Background:
Primary ovarian fibrosarcoma is a very rare tumor. Its Doppler waveform characteristics have not been described before.
Case:
A 35-year-old woman presented with a 5-cm solid ovarian mass. Intratumoral artery resistance index (RI) and pulsatility index (PI) were very low (0.19 and 0.21, respectively). Peak systolic velocity calculated by using transvaginal Doppler ultrasound was higher than expected (24.8 cm/s). Postoperatively, the histopathologic diagnosis was primary ovarian fibrosarcoma, stage Ia.
Conclusions:
Low vascular resistance can be encountered in ovarian fibrosarcomas. In young patients presenting with a solid adnexal mass, intratumoral Doppler waveform investigations might offer some help for earlier prediction of rare malignant tumors like fibrosarcomas.

