Can ovarian or endometrial cancer be detected on a sonogram?

Not diagnostic: The only way to diagnose either of these cancers is by biopsy. Ultrasound findings and symptoms may lead to increased suspicion and further diagnostic testing. Ultrasound in the hands of a skilled practitioner can be an important screening tool.

Maybe: A transvaginal pelvic ultrasound allows radiologists to evaluate the ovaries and endometrium. Ovarian cancer has a varied appearance and may present as a cystic and/or solid mass with or without ascites (fluid in the pelvis). Endometrial cancer may present as thickening of the endometrium or a mass.

Gyn cancer: Both cancers can be suspected but not definitively diagnosed on ultrasound (sonogram).