Evaluation of the Adnexal Mass
Patients found to have a pelvic adnexal mass in the ambulatory setting are most often asymptomatic or minimally symptomatic. Rather than the need for urgent surgical management which is common in patients with acute pelvic symptomatology, patients with an adnexal mass in the ambulatory setting more often require quantification of the risk of malignancy or a structured plan for surveillance (Table 8.1). Refinements in ultrasound diagnostics (adnexal mass morphology, color flow Doppler), serum tumor markers, multivariate index assays, and genetic testing, when appropriate, have all become strategic in the assessment of an adnexal mass.
KeywordsAdnexal Mass Ovarian Mass Serum Biomarkers Multivariate Index assay Ovarian Cancer Pelvic ultrasound
- 5.Sharma A, Apostolidou S, Burnell M, Campbell S, Habib M, Gentry-Maharaj A, et al. Risk of epithelial ovarian cancer in asymptomatic women with ultrasound-detected ovarian masses: a prospective cohort study within the UK collaborative trial of ovarian cancer screening (UKCTOCS). Ultrasound Onstet Gynecol. 2012;40:338–44.CrossRefGoogle Scholar