Asymptomatic adnexal mass in postmenopausal women
The widespread use of vaginal ultrasound as an integral part of the gynecologic clinical examination in many countries has led to the unexpected finding of adnexal mass. The implications of the finding of an adnexal mass in an asymptomatic postmenopausal woman can be serious if it is malignant and i...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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IMR Press
2020-06-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5254 |
| _version_ | 1818552814771634176 |
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| author | A. Vatopoulou A. Papanikolaou |
| author_facet | A. Vatopoulou A. Papanikolaou |
| author_sort | A. Vatopoulou |
| collection | DOAJ |
| description | The widespread use of vaginal ultrasound as an integral part of the gynecologic clinical examination in many countries has led to the unexpected finding of adnexal mass. The implications of the finding of an adnexal mass in an asymptomatic postmenopausal woman can be serious if it is malignant and is not excised, because ovarian cancer has an indolent course and when it becomes symptomatic it is often fatal. The aim of the present review is to discuss the evaluation and management of incidental adnexal masses in postmenopausal women. Despite careful evaluation with ultrasound and biomarkers, a small number of patients will remain without a conclusive diagnosis. It is our opinion, based on empirical evidence discussed here, that conservative therapy with observation can be safely applied in the majority of these patients. |
| first_indexed | 2024-12-12T09:18:00Z |
| format | Article |
| id | doaj.art-8310752c8d924902be36966ab9ccc359 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-12-12T09:18:00Z |
| publishDate | 2020-06-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-8310752c8d924902be36966ab9ccc3592022-12-22T00:29:18ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-06-0147332032310.31083/j.ceog.2020.03.5254S0390-6663(20)00259-6Asymptomatic adnexal mass in postmenopausal womenA. Vatopoulou0A. Papanikolaou1First Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Papageorgiou Hospital, Thessaloniki, GreeceSecond Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Hippokration Hospital, Thessaloniki, GreeceThe widespread use of vaginal ultrasound as an integral part of the gynecologic clinical examination in many countries has led to the unexpected finding of adnexal mass. The implications of the finding of an adnexal mass in an asymptomatic postmenopausal woman can be serious if it is malignant and is not excised, because ovarian cancer has an indolent course and when it becomes symptomatic it is often fatal. The aim of the present review is to discuss the evaluation and management of incidental adnexal masses in postmenopausal women. Despite careful evaluation with ultrasound and biomarkers, a small number of patients will remain without a conclusive diagnosis. It is our opinion, based on empirical evidence discussed here, that conservative therapy with observation can be safely applied in the majority of these patients.https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5254adnexal massca 125malignancyultrasound |
| spellingShingle | A. Vatopoulou A. Papanikolaou Asymptomatic adnexal mass in postmenopausal women Clinical and Experimental Obstetrics & Gynecology adnexal mass ca 125 malignancy ultrasound |
| title | Asymptomatic adnexal mass in postmenopausal women |
| title_full | Asymptomatic adnexal mass in postmenopausal women |
| title_fullStr | Asymptomatic adnexal mass in postmenopausal women |
| title_full_unstemmed | Asymptomatic adnexal mass in postmenopausal women |
| title_short | Asymptomatic adnexal mass in postmenopausal women |
| title_sort | asymptomatic adnexal mass in postmenopausal women |
| topic | adnexal mass ca 125 malignancy ultrasound |
| url | https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5254 |
| work_keys_str_mv | AT avatopoulou asymptomaticadnexalmassinpostmenopausalwomen AT apapanikolaou asymptomaticadnexalmassinpostmenopausalwomen |