ABOUT THE DISEASE
This refers to a pelvic mass or tumor developing in the area connecting to the uterus, i.e. fallopian tube, ovaries and broad ligament. Women of all ages can develop adnexal masses and may be discovered due to symptoms or incidentally from a physical exam, radiologic imaging or surgery. These masses can be cancerous or non-cancerous, therefore require a proper evaluation.
In premenopausal women, physiologic follicular cysts and corpus luteum cysts are the most common adnexal masses, besides the possibility of ectopic pregnancy. Other masses in this age group include endometriomas, polycystic ovaries, tubo-ovarian abscesses, hydrosalpinx and benign neoplasms.
Malignant neoplasms are uncommon in younger women but become more frequent with increasing age. In postmenopausal women with adnexal masses, both primary and secondary neoplasms must be considered, along with leiomyomas, ovarian fibromas, etc.
Patients are often asymptomatic. Those who have symptoms may present with:
- History- Physical examination- Pap Smear- Ultrasonography-transabdominal or transvaginal- CT scan-pelvis- Complete blood count- Serum β HCG- Serum Tumor markers
Depending on the cause, the treatment options include:- Asymptomatic, small, well-characterized adnexal masses may be observed with regular pelvic examinations and radiologic evaluations.- Medication-hormone therapy- Surgery to remove the mass/organ
You may also like to learn about:
Ectopic pregnancyPolycystic ovarian disease(PCOD)Uterine FibroidOvarian CystsBlocked Fallopian tubesOvarian cancer