Doctor insights on:
Complex Adnexal Mass
Does doctore need to remove complex adnexal mass with intire ovary for complete pathologic diagnosis?
No: You need to remove the whole adnexal mass for a complete path diagnosis, you do not need to remove ovary to make a diagnosis. In risky cases, the ovary should sometimes be removed too, though. ...Read more
Possible: All complex adnexal masses are a theoretical risk for ovarian cancers, but there are many other possibilities too. Risk is estimated by size, apearance on ultrasound, age group, behavior over time, and other things. ...Read more
Women who have previously complex adnexal mass are at greater risk of developing further on same ovary avarian cancer?
Women who have previously benign complex adnexal mass on ovary are more at risk developing further on same ovary ovarian cancer?
Part of uterus: Adnexal masses refer to structues attached to uterus such as ovary or fallopian tube. In either instance the mass can be solid or cystic. If the latter and under 5 cm. and not complex, one watches. If solid, surgery is frequently indicated since this may represent ovarian cancer. ...Read moreSee 1 more doctor answer
CAT or MRI: The presence of an adnexal mass suggests a primary ovarian lesion. One must be sure there is no ongoing malignancy in organs such as breast or rectosigmoid colon with spread to ovary and appearance of an adenexal mass. If a primary in ovary considered, excision of lesion required for histologic dx and treatment planning. ...Read more
Ovarian mass: Depends on size and characteristics. If over 10 cm, remove right away. If under 10 cm and simple (looks like a balloon on ultrasound), watch and recheck in 6-8 weeks. If complex on ultrasound (solid or walls or growths on inside), remove right away. Most common is going to be benign teratoma (dermoid). Germ cell cancers are more common in this age group. ...Read more
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