Accuracy of bimanual palpation versus vaginosonography in determination of the measurements of pelvic tumors

  • L. W. Popp
  • R. Gaetje
  • M. Stoyanov


In a prospective study the size of 157 pelvic tumors in 101 patients was measured preoperatively by bimanual palpation and vaginosonography, and the results were compared with measurements made at operation. In 72 uterine and 85 ovarian lesions the Spearman correlation coefficients (rs) between the three maximum diameters at right angles to each other measured at operation and by bimanual palpation ranged from 0.48 to 0.78. The correlation coefficients (rs) between measurements at operation and preoperative vaginosonography ranged from 0.91 to 0.97. The size of small lesions was overestimated by bimanual palpation; 44% of tumors smaller than 5 cm in diameter were only detected by vaginosonography.

Key words

Vaginosonography Bimanual palpation Determination of size Pelvic tumor 


  1. 1.
    Andolf E, Joergensen C (1989) Cystic lesions in elderly women, diagnosed by ultrasound. Br J Obstet Gynaecol 96:1076–1079PubMedGoogle Scholar
  2. 2.
    Campell S, Goswamy R, Goessens L, Whitehead M (1982) Real-time ultrasonography for determination of ovarian morphology and volume. Lancet II:425–426CrossRefGoogle Scholar
  3. 3.
    Duda V, Rode G, Thein C, Schulz KD (1990) Vaginalsonographie: Pilotstudie für den Einsatz als Ovarial-Screening-Verfahren. Geburtshilfe Frauenheilkd 50:388–393PubMedCrossRefGoogle Scholar
  4. 4.
    Pfeiffer KH, Wiest D, Hirnle P (1990) Über den Stellenwert der gynäkologischen Sonographie im Vergleich zur gynäkologischen Tastuntersuchung. Ultraschall 11:172–175CrossRefGoogle Scholar
  5. 5.
    Popp LW (1990) Vaginosonography in gynecology, early pregnancy, and gynecologic carcinoma screening. Curr Opin Radiol 2:188–196PubMedGoogle Scholar
  6. 6.
    Rosenberg P, Hakansson OM (1989) Intrauterine ultrasonography and endometrial cancer. Lancet I:842–843CrossRefGoogle Scholar
  7. 7.
    Schmidt W, Boos R, Leucht W, Kuehn W, Schmid H. Kaufmann M, Heberling D (1985) Zur Diagnostik von benignen und malignen Ovarialtumoren. Geburtshilfe Frauenheilkd 45:840–847PubMedGoogle Scholar
  8. 8.
    Schultze B (1890) Bildliche Darstellung des gynäkologischen Tastbefundes. Dtsch Med Wochenschr 16:821–822CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • L. W. Popp
    • 1
  • R. Gaetje
    • 1
  • M. Stoyanov
    • 1
  1. 1.Department of Obstetrics and GynaecologyChristian-Albrechts-University Clinic of Kiel and Michaelis School of MidwiferyKielGermany

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