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One of the most important factors used to determine the clinical suspicion of malignancy of an adnexal mass is the sonographic appearance of the mass. [2] Indications that the mass is at a higher risk of being malignant include the presence of loculations, nodules , papillary structures, septations , or a size greater than 10 cm. [ 3 ] [ 4 ]
The term "adnexitis" is sometimes used to describe an inflammation of the uterine appendages (adnexa). [5] In this context, it replaces the terms oophoritis and salpingitis. The term adnexal mass is sometimes used when the location of a uterine mass is not yet more precisely known. 63% of ectopic pregnancies present with an adnexal mass ...
An adnexal mass is a significant finding that often indicates ovarian cancer, especially if it is fixed, nodular, irregular, solid, and/or bilateral. 13–21% of adnexal masses are caused by malignancy; however, there are other benign causes of adnexal masses, including ovarian follicular cyst, leiomyoma, endometriosis, ectopic pregnancy ...
The bimanual component of the pelvic examination allows the examiner to feel ("palpate" in medical terms) the structures of the pelvis, including the vagina, cervix, uterus, and adnexae (structures adjacent to the uterus, which include the ovaries and any adnexal masses). [22] [23] The bimanual exam traditionally occurs after the speculum is ...
Ovarian torsion (OT) or adnexal torsion is an abnormal condition where an ovary twists on its attachment to other structures, such that blood flow is decreased. [ 3 ] [ 4 ] Symptoms typically include pelvic pain on one side.
[3]: 103 Ultrasonography is a sensitive enough imaging tool that it can accurately differentiate between pregnancy, hemorrhagic ovarian cysts, endometriosis, ovarian torsion, and tubo-ovarian abscess. Its availability, the relative advancement in the training of its use, its low cost, and because it does not expose the woman (or fetus) to ...
Follow-up imaging in women of reproductive age for incidentally discovered simple cysts on ultrasound is not needed until 5 cm, as these are usually normal ovarian follicles. Simple cysts 5 to 7 cm in premenopausal females should be followed yearly. Simple cysts larger than 7 cm require further imaging with MRI or surgical
Ovarian vein syndrome is a rare (possibly not uncommon, certainly under-diagnosed) condition in which dilation of the ovarian vein compresses the ureter (the tube that brings the urine from the kidney to the bladder).