Adnexal mass: diagnosis and management
| dc.creator | Jesus Paula Carvalho | |
| dc.creator | Renato Moretti Marques | |
| dc.creator | Agnaldo Lopes da Silva Filho | |
| dc.date.accessioned | 2023-04-25T23:54:23Z | |
| dc.date.accessioned | 2025-09-08T22:50:25Z | |
| dc.date.available | 2023-04-25T23:54:23Z | |
| dc.date.issued | 2020-07-31 | |
| dc.format.mimetype | ||
| dc.identifier.doi | https://doi.org/10.1055/s-0040-1715547 | |
| dc.identifier.issn | 1806-9339 | |
| dc.identifier.uri | https://hdl.handle.net/1843/52491 | |
| dc.language | eng | |
| dc.publisher | Universidade Federal de Minas Gerais | |
| dc.relation.ispartof | Revista Brasileira de Ginecologia e Obstetrícia | |
| dc.rights | Acesso Aberto | |
| dc.subject | Doenças dos anexos | |
| dc.subject | Carcinoma epitelial do ovário | |
| dc.subject | Neoplasias uterinas | |
| dc.subject | Diagnóstico clínico | |
| dc.subject | Protocolos antineoplásicos | |
| dc.subject.other | Adnexal mass | |
| dc.subject.other | Ovarian cancer | |
| dc.subject.other | Diagnosis | |
| dc.title | Adnexal mass: diagnosis and management | |
| dc.title.alternative | Massa anexial: diagnóstico e manejo | |
| dc.type | Artigo de periódico | |
| local.citation.epage | 443 | |
| local.citation.issue | 07 | |
| local.citation.spage | 438 | |
| local.citation.volume | 42 | |
| local.description.resumo | Key points: adnexal masses occurred in women of all age groups, and their etiology and frequency vary age accordingly; most of the adnexal masses are benign, without symptoms diagnosed incidentally, and can have expectant management; otherwise, ovarian cancer is an adnexal mass with poor prognosis and must be managed quickly in an appropriate setting; correct differential diagnoses of benign and malignant mass matter; panels of biomarkers is not sufficient for the initial evaluation of an adnexal mass; transvaginal ultrasonography is the single most effective way of evaluating an ovarian mass; ovarian cancer patients referred to a cancer center for further Management experience the best outcomes. Recommendations: transvaginal ultrasonography is the single most effective way of evaluating an ovarian mass; computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) not recommended in the initial evaluation of adnexal masses; the suspicious ovarian cysts should be initially assessed by measuring serum CA125 level and transvaginal ultrasound scan; spillage of cyst contents should be avoided preoperative and intraoperatively. Assessment cannot preclude malignancy; frozen sections for the intraoperative diagnosis of a suspicious adnexal mass could be useful when availability and patient preference allow; malignancy histology revealed during or after diagnostic laparoscopy; the comprehensive surgical medical report belongs to the patient, and images should move to a cancer center for further management; consider opportunistic salpingectomy as risk reduced surgery for ovarian cancer during benign operation. | |
| local.identifier.orcid | https://orcid.org/0000-0002-8486-7861 | |
| local.publisher.country | Brasil | |
| local.publisher.department | MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA | |
| local.publisher.initials | UFMG | |
| local.url.externa | https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1715547 |