Objective:

To explore the value of pre-operative sonographic findings in the assessment of the operative indications of patients with ovarian surgery.

Methods:

A total of 159 patients with 171 ovarian lesions were enrolled in the study. All patients were evaluated by ultrasound for morphological features of the masses. The final diagnosis

based on histopathological analysis

was used as a gold standard.

Results:

In ovarian cystic lesions

the ratio for malignancy in the lesions with the maximal diameter 7 cm was statistically higher than those 7 cm (

P

0.05). The ratio for malignancy in the ovarian cystic lesions with parietal papillary was significant

ly higher than those without papillary (

P

0.05). In ovarian complex lesions

the ratio for malignancy in the lesions with the maximal diameter 5 cm was statistically higher than those 5 cm (

P

0.05). There was no significant difference in solid lesions when the maximal diameter of 5 cm or 7 cm was set as the threshold for potential maglinancy. In 12 patients with history of gastric or intestinal or breast cancer

metastatic tumor was found in the ovary in 7 cases.

Conclusion:

The patients with the solid ovarian lesions

or the maximal diameter of cystic ovarian lesions 7 cm

or the maximal diameter of complex lesions 5 cm are indicated for surgical procedures. The patients with history of gastric or intestinal or breast cancer are more likely to have the metastatic tumor in the ovary.