Bilateral adnexal torsion is a rare event in children. A high index of suspicion, together with prompt surgical treatment, would help to save the ovaries and preserve its function. We report a case of entangled bilateral adnexal torsion managed successfully via laparoscopy. An 11-year-old premenarchal girl complained of chronic intermittent abdominal pain that worsened over 24 hours. Computed t...

We used a retrospective analysis to evaluate the efficacy of a wound retractor used in gasless laparoscopic-assisted surgery by the subcutaneous abdominal wall-lift method for the management of large cystic adnexal tumors. In the department of gynecology at a general hospital, 39 patients with large cystic adnexal tumors with an excised tissue weight including cystic contents exceeding 1000 g w...

OBJECTIVE The aim of our study was to evaluate the accuracy of multidetector computed tomography (MDCT) on a 16-row CT scanner in the detection and differentiation of adnexal masses. METHODS We prospectively examined 102 consecutive women with clinically or sonographically detected adnexal masses. Preoperative CT examination was performed, including scanning of the abdomen during the portal p...

AIM To investigate the potential usefulness of contrast-enhanced three-dimensional (3D) power Doppler sonography in the differentiation of benign and malignant adnexal lesions. METHODS Thirty one patients with complex adnexal lesions of uncertain malignancy at transvaginal B-mode and/or color Doppler sonography were prospectively evaluated with three-dimensional power Doppler sonography befor...

INTRODUCTION Although few cases of squamous cell carcinoma (SCC) with clear cells have been published, we believe that these cells are often present in SCC. MATERIAL AND METHODS We studied 249 SCCs, analyzing a number of clinical and histological variables. Various immunohistochemical techniques (immunoperoxidase method) were used to determine whether adnexal differentiation was present. RE...

OBJECTIVE To compare the diagnostic performance and radiation dose between contrast-enhanced CT (ECT) alone, and combined unenhanced and contrast-enhanced CT (UE + ECT) for the assessment of adnexal mass. MATERIALS AND METHODS This retrospective study was approved by the Institutional Review Board. A total of 146 consecutive patients (mean age, 41.1 years) who underwent preoperative unenhance...

Adnexal masses are common in gynecology practice and the decision to treat the patient by observation, laparoscopy, or laparotomy will often depend upon basic evaluation in various age groups of women. In the United States, a woman has a 5-10% lifetime risk of undergoing surgery for an adnexal mass and, of these, benign neoplasms constitute a significant number, but 4% of new ovarian cancers ex...

© 2010 The Authors. doi: 10.2340/00015555-0880 Journal Compilation © 2010 Acta Dermato-Venereologica. ISSN 0001-5555 Most cutaneous adnexal tumours show poor differentiation or differentiate toward only one adnexal structure. Trichoblastomas are benign tumours with hair germ differentiation. We describe here a trichoblastoma-like tumour appearing on the scalp of an elderly woman and propose tha...

Because pelvic ultrasound is commonly used to evaluate adnexal masses, it is important to understand the most useful sonographic features for predicting benign and malignant masses. Determining whether an adnexal mass is of ovarian or extraovarian origin is key in arriving at the most likely diagnosis. Most adnexal masses are benign, and each of the most common benign ovarian lesions has a typi...

To analyse the prevalence of (pre) malignant lesions occurring in breast and adnexal tissue at prophylactic surgery in women at hereditary high risk of breast and/or ovarian cancers. Tissue was obtained from 85 women who underwent prophylactic bilateral salpingo-oophorectomy (pBSO) and from 59 women who underwent prophylactic mastectomy (pM). Control tissue samples were obtained from women unde...