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Re: ultrasound diagnosis of polycystic ovaries From: patrizia (pellpatri@iol.it) Wed Mar 20 14:04:45 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Fazeel: "Re: ultrasound diagnosis of polycystic ovaries" Previous message: =?iso-8859-7?B?xPEuIMn53O3t5/Igzenq7+vp5Nzq5/I=?=: "Re: ultrasound diagnosis of polycystic ovaries" Maybe in reply to: Yiannis Nickolidakis: "ultrasound diagnosis of polycystic ovaries" Polycystic ovaries have distinctive ultrasonographic appearance: they are enlarged with many follicles (>10 follicles of 7-8 mm) arranged peripherally in the cortex and a thick hyperecoic stroma. According to some authors these ovaries are more vascularized and this may explain the risk of ovarian hyperstimulation the PCOS patients have when they undergo ovulation induction with gonadotropins In a recent paper the cutoff value for ovarian volume in PCOS patients is 13.21 ml; for the area is 7cm2; for the stroma is 1.95 cm2 and for the stroma/total area ratio 0.34 (Fulghesu et al. A new ultrasound criterion for the diagnosis of polycystic ovarry syndrome: the ovarian stroma/total area ratio. Fertility and Sterility 2001, 76; 326-331 Usually all patients with clinical signs of PCOS have polycystic appearance of the ovaries. Sometimes patients with hyperprolactinemia have enlarged but multifollicular and not polycystic ovaries Dr Patrizia >----- Original Message ----- From: "Terry J DuBose" <tjdubose@juno.com> To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.medispecialty.com> Sent: Wednesday, March 20, 2002 5:23 AM Subject: Re: ultrasound diagnosis of polycystic ovaries > Dr. Nickolidakis, I am not a physician, but I am a sonographer who has > seen a few "polycystic ovaries". I think polycystic ovaries > (Stein-Leventhal Syndrome) is not clearly defined from a sonographic > perspective. The cases I have seen that were clearly polycystic also had > a diagnostic component that included the clinical and medical history, > often (in our population) with a Mediterranean ethnicity. Most often > slightly overweight, somewhat hirsute, and ovaries that were slightly > large, but with distinct, clear margins, and uniform, small cysts (2-3 > mm) completely surrounding the periphery. Usually infertile. > > There are probably intermediate types. interesting question. Why do you > ask? I hope we get a wide response, it will be instructive. > > Peace, Terry J DuBose, M.S., RDMS > Little Rock, Arkansas USA > > -------------------------------------------------- > > -------------------------------------------------- > On Tue, 19 Mar 2002 14:32:42 -0600 nickolidakis@geneticsunit.gr (Yiannis > -------------------------------------------------- > Nickolidakis) writes: > > What does the term "polycystic ovaries" mean? > > Are any certain creteria for the ultrasonographic term? > > Are any intermediate types? > > > > All the above are my questions to all the phycisians to find out a > > certain diagnosis for polycystic ovaries. How many follicles, at > > what > > size and at which position must be seen? How long dimentions must > > the > > ovaries have? How much wide must the stroma be? Have the polycystic > > ovaries been diagnosed regardless the PCOs symptoms? > > > Next message: Fazeel: "Re: ultrasound diagnosis of polycystic ovaries" Previous message: =?iso-8859-7?B?xPEuIMn53O3t5/Igzenq7+vp5Nzq5/I=?=: "Re: ultrasound diagnosis of polycystic ovaries" Maybe in reply to: Yiannis Nickolidakis: "ultrasound diagnosis of polycystic ovaries"

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