Pre-operative assesment of adnexal mass

Marco Antonio Sánchez Salcedo
In: Obstetrics & Gynecology International Journal · 2019 · vol. 10(1) · doi:10.15406/ogij.2019.10.00416 · W2962982783
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Abstract

Adnexal masses are tumors which may be located either in the ovary or the fallopian tubes or the surrounding connective tissue, i.e. mesosalpinx, the mesovarian section and the broad ligament. It is a common gynecological issue. Thus a previous determination of the benignancy or malignancy risk is essential for a subsequently careful management. There is a variety of radiological approaches, biomarkers or clinically pre-surgical procedures and predictive models studied and validated all over the world in order to differentiate the etiology of adnexal masses. Dr. J. Kaijser and his clinical research team conducted a systematic review and meta-analysis over the use of mathematically predictive models of diagnosis beforehand of adnexal masses. Nowadays the analysis of different studies and systematic reviews prove that both IOTA LR2 and Simple Rules are the best diagnostic approaches available in the preoperatively differentiation of both benign and malignant adnexal masses. Such disquisition is vitally important for women of reproductive age, as it deals with fertility preservation. Furthermore, having obtained predictive outcomes over benign diseases, women are more likely to be treated by obstetrician-gynecologists (OB-GYN) or in general hospitals and patients given a diagnostically suspected malignancy would be referred to and treated by gynecologic oncologists.

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