Between 5 and 15% of women undergo surgery for an adnexal mass. It is the fourth most common reason for hospital admission in the USA. An adnexal mass can be of gynecologic or nongynecologic origin. The former may originate from the cervix, uterus, or ovaries, while the latter may arise from any other pelvic structure. The key management goal is ruling out malignancy. Fortunately, the majority of these masses are benign and are discovered during a history and physical exam. The patient’s age, menstrual status, symptoms, history/physical exam, and results of imaging studies are important elements in the formation of a differential diagnosis. While some of these can be satisfactorily evaluated by a combination of abdominal and bimanual pelvic examination, the majority require adjunctive imaging studies for further characterization.
KeywordsGerm Cell Tumor Ovarian Cyst Dermoid Cyst Adnexal Mass Cystic Teratoma
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