ISUOG 2025 – Ultrasound unveiled : Insights in gynecologic oncology
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This ISUOG 2025 session, presented by Prof. Valentina Chiappa, outlines the role of gynecologic oncology ultrasound in assessing and staging gynecologic malignancies. The presentation focuses on how standardized ultrasound evaluation can support clinical decision-making across ovarian, endometrial, cervical, and tubal cancers.
Ovarian mass assessment is a central topic, with emphasis on evaluating malignancy risk using lesion morphology, vascular patterns, and tumor heterogeneity. The session discusses the use of validated tools, including IOTA terminology, Simple Rules, and the ADNEX model, to support structured risk stratification and diagnostic consistency.
The webinar also addresses ultrasound-based evaluation of disease spread in ovarian cancer. Assessment of peritoneal involvement, lymph node status, and features associated with tumor non-resectability is reviewed in the context of preoperative planning.
Endometrial cancer assessment is presented with a focus on qualitative evaluation beyond endometrial thickness alone. The session highlights identification of focal lesions, use of sonohysterography, and assessment of myometrial and cervical stromal infiltration to support tumor staging.
Cervical cancer staging is also covered, with ultrasound discussed as an alternative to MRI in selected clinical settings. Evaluation of tumor size, vascularity, parametrial involvement, and adjacent organ infiltration is demonstrated using two-dimensional, Doppler, and three-dimensional ultrasound techniques.
Overall, the session highlights how gynecologic oncology ultrasound supports structured assessment and staging across multiple gynecologic cancer types.
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