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Polycystic ovarian disease: sonographic spectrum
Radiology
|February 1, 1984
Summary
Polycystic ovarian disease (PCOD) diagnosis can be challenging. Ultrasound reveals varied ovarian appearances in PCOD patients, including normal size, which does not rule out the condition.
Area of Science:
- Reproductive Endocrinology
- Medical Imaging
- Gynecology
Background:
- Polycystic ovarian disease (PCOD) is a common endocrine disorder.
- Diagnosis often relies on clinical and hormonal criteria.
- Ovarian morphology on ultrasound can be variable.
Purpose of the Study:
- To describe the spectrum of ovarian sonographic findings in patients with PCOD.
- To assess the utility of ovarian volume in PCOD diagnosis.
Main Methods:
- Ultrasound examinations were performed on 28 patients diagnosed with PCOD.
- Hormonal analysis confirmed PCOD; surgical confirmation was done in 12 cases.
- Ovarian morphology was categorized into distinct patterns.
Main Results:
- 29% of patients had normal ovarian volume.
- 71% of patients exhibited bilaterally enlarged ovaries.
- Enlarged ovaries showed patterns: discretely resolved cysts (39%), hypoechoic (25%), and isoechoic to the uterus (7%).
Conclusions:
- Normal ovarian size does not exclude PCOD in a suitable clinical context.
- Recognizing diverse sonographic patterns aids PCOD diagnosis.
- Ultrasound is valuable for evaluating ovarian morphology in PCOD.