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
Montgomery D. Ultrasound in Evaluation of Pelvic Mass. JAMA. 1983;250(23):3164. doi:10.1001/jama.1983.03340230022018
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