Adnexal Masses: The Good, the Bad, and the Ugly

Stephen E. Zimberg, Manuel Peñalver, Deborah A. Chong
In: Clinics in Colon and Rectal Surgery · 2003 · vol. 16(1) , pp. 005–012 · doi:10.1055/s-2003-39032 · W2032559115
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This review outlines common adnexal masses, including endometriomas and neoplasms, to help colorectal surgeons manage unexpected intraoperative findings during gastrointestinal surgery.

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This review article outlines the common etiologies of adnexal masses, categorizing them into infectious, occlusive, functional, and neoplastic types. It notes that colorectal surgeons may encounter these lesions unexpectedly during gastrointestinal surgery and highlights that approximately fifteen specific entities account for nearly all neoplastic cases found in this context. The text explicitly lists endometriomas as a frequent type of adnexal mass alongside other conditions such as hydrosalpinx and tubo-ovarian abscesses. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

The common adnexal masses include lesions of infectious or occlusive origin such as hydrosalpinx and tubo-ovarian abscess (either primary pelvic cause or secondary to gastrointestinal disease), functional cysts and endometriomas, and benign or malignant neoplasms. From a practical standpoint, the colorectal surgeon is most likely to encounter these masses unexpectedly at the time of surgery for gastrointestinal disease and will be faced with intraoperative management. Fortunately, approximately 15 entities account for 98.5% of all neoplastic (benign, borderline, and malignant) masses found at the time of surgery or workup of abdominal or colorectal disease.
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Abstract

The common adnexal masses include lesions of infectious or occlusive origin such as hydrosalpinx and tubo-ovarian abscess (either primary pelvic cause or secondary to gastrointestinal disease), functional cysts and endometriomas, and benign or malignant neoplasms. From a practical standpoint, the colorectal surgeon is most likely to encounter these masses unexpectedly at the time of surgery for gastrointestinal disease and will be faced with intraoperative management. Fortunately, approximately 15 entities account for 98.5% of all neoplastic (benign, borderline, and malignant) masses found at the time of surgery or workup of abdominal or colorectal disease.

Keywords

Adnexal masses - hydrosalpinx - tubo-ovarian abscess - ovarian mass - ovarian cyst - endometriomas

References

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