Fifteen patients, 10 with ovarian carcinoma and 5 with endometrial carcinoma, were included in a prospective study of indium-111-bleomycin and ultrasound diagnostic scanning techniques between September 1975 and November 1976. Twenty-two scans were carried out with each imaging technique. With each of these diagnostic modalities, two studies were found to be inaccurate. However, the scanning procedures were found to be complementary and in no one patient were the indium-111-bleomycin and ultrasound studies both misleading. We propose that both techniques be used for the initial evaluation of patients with ovarian or endometrial malignancies and in subsequent follow-up examinations for indentification of response to treatment. When optimal ultrasound scanning cannot be achieved because of poor patient cooperation (i.e., consistently incomplete urinary bladder filling or excessive pain on abdominal compression), then the indium-111-bleomycin scan may supplant the former technique for follow-up of patients with known pelvic and abdominal disease.
ASJC Scopus subject areas
- Obstetrics and Gynecology