Detection and management of pathological, non-palpable, cystic adnexal masses

Anderson RE; R E Anderson; Robert E. Anderson; P C Serafini; P. Serafini; Serafini Pc; R J Paulson; Richard J. Paulson; Paulson RJ; Sauer MV; Mark V. Sauer; M V Sauer; Marrs RP; Richard P. Marrs; R P Marrs

doi:10.1093/oxfordjournals.humrep.a137089

Detection and management of pathological, non-palpable, cystic adnexal masses

Anderson RE, R E Anderson, Robert E. Anderson, P C Serafini, P. Serafini, Serafini Pc, R J Paulson, Richard J. Paulson, Paulson RJ, Sauer MV, Mark V. Sauer, M V Sauer, Marrs RP, Richard P. Marrs, R P Marrs

Human Reproduction · 1990 · vol. 5(3) , pp. 279–281 · doi:10.1093/oxfordjournals.humrep.a137089 · PMID:2141030 · W1939316932

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Transvaginal ultrasound detected small, non-palpable adnexal cysts in ten patients, and surgical evaluation revealed pathological diagnoses after conservative management failed.

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Abstract

Ten patients with normal bimanual pelvic examinations were found to have small, non-palpable adnexal cysts by transvaginal ultrasound examination. After failing to respond to a course of observation and suppressive therapy with combination oral contraceptives, surgical evaluation was performed. In each case, histological examination returned a pathological diagnosis (endometrioma, serous cystadenoma, mature cystic teratoma, inflammatory cyst). This series suggests that transvaginal ultrasonography may be used to detect adnexal pathology before it is clinically apparent. A scheme for management of this clinical entity is proposed.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Adnexal Diseases Cysts Adnexal Diseases Adnexal Diseases Adult Contraceptives, Oral, Combined Contraceptives, Oral, Combined Cystadenoma Cystadenoma Cysts Cysts Drug Combinations Endometriosis Endometriosis Ethinyl Estradiol Ethinyl Estradiol Ethinyl Estradiol-Norgestrel Combination Female Humans Laparoscopy

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