Detection and management of pathological, non-palpable, cystic adnexal masses.
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.
Anderson
R E
RE
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles.
Serafini
P C
PC
Paulson
R J
RJ
Sauer
M V
MV
Marrs
R P
RP
D000291:Adnexal Diseases / Q000175:diagnosis / Q000628:therapy*; D000328:Adult; D003277:Contraceptives, Oral, Combined / Q000627:therapeutic use; D003537:Cystadenoma / Q000601:surgery; D003560:Cysts / Q000175:diagnosis / Q000628:therapy*; D004338:Drug Combinations; D004715:Endometriosis / Q000601:surgery; D004997:Ethinyl Estradiol / Q000627:therapeutic use; D019304:Ethinyl Estradiol-Norgestrel Combination; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008656:Mestranol / Q000627:therapeutic use; D009640:Norethindrone / Q000627:therapeutic use; D009644:Norgestrel / Q000627:therapeutic use; D013724:Teratoma / Q000601:surgery; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000601:surgery
D003277:Contraceptives, Oral, Combined; D004338:Drug Combinations; D009644:Norgestrel; D004997:Ethinyl Estradiol; C014715:Norinyl; D019304:Ethinyl Estradiol-Norgestrel Combination; D008656:Mestranol; D009640:Norethindrone