Approach to Gynecological Adnexal Masses

Gynecological pelvic masses are a common occurrence in women of all ages. The differential diagnosis is extensive and includes masses of all anatomical components of the female reproductive tract. This simple and refined approach leads the reader through the process of narrowing said differential. A...

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Main Author: Laurie-Rose Dubé
Format: Article
Language:English
Published: McGill University 2021-07-01
Series:McGill Journal of Medicine
Subjects:
Online Access:https://mjm.mcgill.ca/article/view/340
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author Laurie-Rose Dubé
author_facet Laurie-Rose Dubé
author_sort Laurie-Rose Dubé
collection DOAJ
description Gynecological pelvic masses are a common occurrence in women of all ages. The differential diagnosis is extensive and includes masses of all anatomical components of the female reproductive tract. This simple and refined approach leads the reader through the process of narrowing said differential. A thorough history and physical examination are essential steps that can hint to the appropriate investigations such as reproductive hormone levels, serum cancer biomarkers and imaging. Emphasis is put on ultrasound findings, helping differentiate not only diagnoses, but also the benign or malignant character of the mass. It also highlights the Risk of Malignancy Index I, commonly used in clinical practice to assess the risk of malignancy of a mass. Beyond the initial approach, some diagnoses and their management are discussed, from the very common functional cyst to the worrisome ovarian neoplasm, and mentioning more peculiar findings like tubo-ovarian abscess and leiomyoma.
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spelling doaj.art-9de72e115c7d425faa19fd8297d36c0d2022-12-21T23:50:44ZengMcGill UniversityMcGill Journal of Medicine1715-81252021-07-0120110.26443/mjm.v20i1.340Approach to Gynecological Adnexal MassesLaurie-Rose Dubé0McGill Faculty of MedicineGynecological pelvic masses are a common occurrence in women of all ages. The differential diagnosis is extensive and includes masses of all anatomical components of the female reproductive tract. This simple and refined approach leads the reader through the process of narrowing said differential. A thorough history and physical examination are essential steps that can hint to the appropriate investigations such as reproductive hormone levels, serum cancer biomarkers and imaging. Emphasis is put on ultrasound findings, helping differentiate not only diagnoses, but also the benign or malignant character of the mass. It also highlights the Risk of Malignancy Index I, commonly used in clinical practice to assess the risk of malignancy of a mass. Beyond the initial approach, some diagnoses and their management are discussed, from the very common functional cyst to the worrisome ovarian neoplasm, and mentioning more peculiar findings like tubo-ovarian abscess and leiomyoma.https://mjm.mcgill.ca/article/view/340pelvic massgynecological mass
spellingShingle Laurie-Rose Dubé
Approach to Gynecological Adnexal Masses
McGill Journal of Medicine
pelvic mass
gynecological mass
title Approach to Gynecological Adnexal Masses
title_full Approach to Gynecological Adnexal Masses
title_fullStr Approach to Gynecological Adnexal Masses
title_full_unstemmed Approach to Gynecological Adnexal Masses
title_short Approach to Gynecological Adnexal Masses
title_sort approach to gynecological adnexal masses
topic pelvic mass
gynecological mass
url https://mjm.mcgill.ca/article/view/340
work_keys_str_mv AT laurierosedube approachtogynecologicaladnexalmasses