Clinical management of incidental findings on pelvic adnexal masses.
نویسندگان
چکیده
Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphological parameters with Doppler study, serum carcinoma antigen 125 and investigation of a symptom index may improve diagnosis. Surgical approach should be considered whenever there are suspicious images, rapid growth of cysts, changes in the appearance compared to the initial evaluation or when the patient has symptoms. Future studies on genetic and molecular mechanisms may help explain the pathophysiology of ovarian cancer, improving early diagnosis and treatment.
منابع مشابه
Managing incidental findings on abdominal and pelvic CT and MRI, part 1: white paper of the ACR Incidental Findings Committee II on adnexal findings.
This white paper describes adnexal (ovarian and paraovarian) incidental findings found on CT and MRI in nonpregnant postmenarchal patients in whom no adnexal disorder is clinically known or suspected. This represents the first of 4 such papers from the ACR Incidental Findings Committee II, which used a consensus method based on repeated reviews and revisions and a collective review and interpre...
متن کاملEvaluation of Adnexal Masses - Correlation of Clinical, Sonological and Histopathological Findings in Adnexal Masses
mass is complex and includes functional cysts, benign and malignant ovarian tumors, paraovarian cysts, tuboovarian abscesses, hydrosalpinx, ectopic pregnancies, tubal malignancy, broad ligament fibroid, fimbrial cysts, sigmoid colon or colon distended with gasses or feces, pelvic kidney, and pregnancy in bicornuate uterus. These masses pose both a diagnostic and management dilemma. Ultrasonogra...
متن کاملPeri- and post-menopausal incidental adnexal masses and the risk of sporadic ovarian malignancy: new insights and clinical management.
Adnexal masses are common among peri- and post-menopausal women. Although ovarian cancer is a significant cause of mortality in menopausal women, large population-based studies demonstrate that the majority of adnexal masses are benign. Despite this, the appearance of an adnexal mass is a concern for the patient and an insight exercise for physicians. In most cases, an adnexal enlargement is an...
متن کاملAssessment of adnexal masses using ultrasound: a practical review
Pelvic ultrasound is commonly used as part of the routine gynecologic exams, resulting in diagnosis of adnexal masses, the majority of which are functional or benign. However, due to the possible complications involving benign adnexal cysts (ie, adnexal torsion, pelvic pain) and the utmost importance of early diagnosis and treatment of ovarian cancer, the correct ultrasound diagnosis of adnexal...
متن کاملUS of the ovary and adnexa: to worry or not to worry?
Ultrasonography (US) is typically the first study to be requested in patients with clinical findings that may suggest pelvic disease. The evaluation of adnexal masses is a common component of the sonologist's workload, and US has been shown to be accurate for both detecting and characterizing these masses, most of which are either insignificant or benign and therefore require little or no follo...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Revista da Associacao Medica Brasileira
دوره 61 5 شماره
صفحات -
تاریخ انتشار 2015