title: Detection and management of pathological, non-palpable, cystic adnexal masses.
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.
authors: Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles.
authors: R E
authors: RE
authors: Anderson
authors: P C
authors: PC
authors: Serafini
authors: R J
authors: RJ
authors: Paulson
authors: M V
authors: MV
authors: Sauer
authors: R P
authors: RP
authors: Marrs
mesh_terms: 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
chemical_list: D003277:Contraceptives, Oral, Combined; D004338:Drug Combinations; D009644:Norgestrel; D004997:Ethinyl Estradiol; C014715:Norinyl; D019304:Ethinyl Estradiol-Norgestrel Combination; D008656:Mestranol; D009640:Norethindrone