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[Adnexal findings].

M Bajka1

  • 1Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich. michael.bajka@hin.ch

Praxis
|May 25, 2001
PubMed
Summary
This summary is machine-generated.

Adnexal masses in the female pelvis are typically assessed using ultrasound. Findings should be categorized descriptively as simple cysts, benign, or malignant lesions, avoiding definitive histopathologic diagnosis.

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Area of Science:

  • Gynecology
  • Radiology
  • Oncology

Background:

  • Conventional clinical examination is standard for assessing the female small pelvis.
  • Ultrasound is the primary imaging modality for evaluating adnexal masses.
  • Descriptive documentation of sonographic findings is crucial.

Purpose of the Study:

  • To outline recommended practices for the sonographic assessment of adnexal masses.
  • To guide the classification of adnexal lesions based on ultrasound findings.
  • To introduce the Mainz-Score for evaluating adnexal tumors via transvaginal ultrasonography.

Main Methods:

  • Conventional clinical examination of the female pelvis.
  • Transvaginal ultrasonography for adnexal mass assessment.
  • Classification of sonographic findings into three categories: simple cyst, benign lesion, malignant lesion.

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  • Application of the Mainz-Score for tumor evaluation.

    • Main Results:

    • Sonographic findings should be documented purely descriptively.
    • Histopathologic diagnosis is not advised solely on initial sonographic findings.
    • The Mainz-Score is recommended by the SGUMGG for assessing adnexal tumors.

    Conclusions:

    • Adnexal masses require careful sonographic evaluation and descriptive classification.
    • A follow-up interval of approximately six weeks is generally safe for asymptomatic new adnexal tumors.
    • A comprehensive Swiss guideline for adnexal tumors was anticipated for release in 2001.