Clinical management of incidental findings on pelvic adnexal masses

Revista da Associação Médica Brasileira

Daniel Spadoto Dias¹  Flávia Neves Bueloni-dias¹  Armando Delmanto¹  Ângela Favorito Santarém Tonon¹  Najla Mohamad Tayfour¹  Paulo Traiman¹  Rogério Dias¹ 

关键词: ovarian cysts;    ovarian neoplasm's;    adnexal diseases;    ultrasonography;    CA-125 antigen;    cistos ovarianos;    neoplasias ovarianas;    doenças dos anexos;    ultrassonografia;    antígeno CA-125;   

DOI  :  10.1590/1806-9282.61.05.469

来源: SciELO

【 摘 要 】

Summary Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphological parameters with Doppler study, serum carcinona antigen 125 and investigation of a symptom index may improve diagnosis. Surgical approach should be considered whenever there are suspicious images, rapid growth of cysts, changes in the appearance compared to the initial evaluation or when the patient has symptoms. Future studies on genetic and molecular mechanisms may help explain the pathophysiology of ovarian cancer, improving early diagnosis and treatment.

【 授权许可】

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