Characterising pelvic masses using ultrasound.

Area of Science:

• Radiology
• Gynecologic Imaging

Background:

• Pelvic masses require systematic evaluation for accurate diagnosis.
• Detecting pelvic masses occurs during routine screening or acute symptom assessment.

Purpose of the Study:

• To detail the methodical steps for evaluating pelvic masses.
• To highlight the role of transvaginal ultrasonography in characterizing pelvic lesions.
• To guide examiners in assessing pelvic masses encountered during female pelvis examinations.

Main Methods:

• Utilizing transvaginal ultrasonography for dynamic and interactive examination.
• Assessing echostructure, elasticity, and site-specific pain.
• Evaluating lesion mobility relative to adjacent structures.
• Analyzing morphological and vascular parameters.

Main Results:

• Transvaginal ultrasonography provides essential dynamic features for diagnosis.
• Morphological and vascular parameters are crucial for accurate characterization.
• The evaluation aims to diagnose the origin, nature (intra/extra-peritoneal, functional/persistent, benign/malignant), and stage of pelvic masses.

Conclusions:

• A systematic approach integrating dynamic ultrasonographic features is essential for correct pelvic mass diagnosis.
• Transvaginal ultrasonography is a key tool for characterizing pelvic masses in women.
• This approach aids in differentiating benign from malignant lesions and staging disease.