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December 16, 1983

Ultrasound in Evaluation of Pelvic Mass

Author Affiliations

Akron General Hospital Akron, Ohio

JAMA. 1983;250(23):3164. doi:10.1001/jama.1983.03340230022018

To the Editor.—  I may have misunderstood the purpose of the article by Wang et al.1 It may have been a simple presentation of a neurofibroma. However, their description of a 23-year-old woman found to have a firm, tender, fixed adnexal mass approximately 7 cm in diameter gave the impression that ultrasonography is useful in the preoperative evaluation.I contend that ultrasound has limited, if any, application in the evaluation of a palpable 7-cm pelvic mass.Ultrasound, according to Wang et al, "provides a rapid, relatively accurate diagnosis of a pelvic mass when other methods fail to offer a definitive answer." I assume they mean other noninvasive techniques for the definitive answer.Relative accuracy is just not adequate when considering a 7-cm mass. Definite histological diagnosis is mandatory.Although preoperative tests such as ultrasound and computed tomography (CT) in similar cases may serve educational and financial needs, they rarely