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604 I. Zalud<br />

Table 40.1. Comparative analysis: organ sites and screening programs<br />

Site<br />

Prevalence<br />

(1991)<br />

Deaths<br />

per year<br />

Screening<br />

method<br />

Significant<br />

disease per<br />

1,000<br />

Cervix 13,000 4,500 Cytology 19 5.0<br />

Breast 175,000 44,500 Radiography 16 5.0<br />

Ovary 20,700 12,500 TVS, color flow 10 0.4<br />

Endometrium 33,000 5,500 TVS 20 3±6<br />

TVS, transvaginal sonography.<br />

Cancer<br />

(no. per 1,000)<br />

Table 40.2. Ovarian tumor B-mode ultrasonography and<br />

color Doppler scoring system<br />

Classification<br />

Mass Fluid Internal borders<br />

Unilocular Clear (0) Smooth (0)<br />

Internal echoes (1) Irregular (2)<br />

Multilocular Clear (1) Smooth (1)<br />

Internal echoes (1) Irregular (2)<br />

Cystic, solid Clear (1) Smooth (1)<br />

Internal echoes (2) Irregular (2)<br />

Papillary Suspicious (1) Definite (2)<br />

projections<br />

Solid Homogeneous (1) Echogenic (2)<br />

Peritoneal fluid Absent (0) Present (1)<br />

Laterality Unilateral (0) Bilateral (1)<br />

Ultrasound score<br />

£ 2 Benign<br />

3±4 Questionable<br />

>4 Suspicious for malignancy<br />

Color Doppler<br />

No vessels seen (0)<br />

Regular separate vessels (1)<br />

Randomly dispersed vessels (2)<br />

Pulsed Doppler (RI index)<br />

No Doppler signal (0)<br />

³ 0.40 (1)<br />

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