Parauterine Masses

Determination of the benign or malignant nature of an adnexal mass is essential for appropriate therapeutic planning. Functional cysts and uncomplicated cysts smaller than 5 cm in postmenopausal women may merely be kept under surveillance (Levine et al. 1992). Stage I and II endometriosis of the American Fertility Society classification are managed medically, at least initially (American Fertility Society 1985). Certain benign lesions can be resected by celioscopy, whereas malignant and borderline tumors require laparotomy. Due to its excellent capabilities for morphological analysis, transvaginal ultrasound can characterize most ovarian masses smaller than 10 cm. More recently, color Doppler (CD) evaluation of the vascularity of adnexal masses combined with morphologic assessment has improved diagnostic characterization of these lesions (Buy et al. 1996). Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

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