Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The incidental postmenopausal adnexal mass.

J Matt McDonald1, Susan C Modesitt

  • 1Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Kentucky Chandler Medical Center, Lexington, Kentucky 40536-0298, USA.

Clinical Obstetrics and Gynecology
|August 4, 2006
PubMed
Summary

Postmenopausal ovarian cysts are common, but most simple cysts resolve on their own. Management involves monitoring low-risk masses and surgery for high-risk cases, guided by imaging and tumor markers.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Master Class: Writing a Case Report - Reflections on a Recently Published Case Report.

Gynecologic oncology reports·2026
Same author

#DidYouKnow: Physician engagement online and offline is mission critical to promote accurate and impactful cervical cancer information dissemination.

Gynecologic oncology reports·2026
Same author

Silence is not an acceptable response to accusations of corruption: Expertise, integrity, and robust peer review processes safeguard ethical and data driven medical publications.

Gynecologic oncology reports·2025
Same author

The time is now: Concrete actions are needed to improve diversity and representation in clinical trials participation.

Gynecologic oncology reports·2024
Same author

The doc versus the bot: A pilot study to assess the quality and accuracy of physician and chatbot responses to clinical questions in gynecologic oncology.

Gynecologic oncology reports·2024
Same author

Maximizing ovarian function and fertility following chemotherapy in premenopausal patients: Is there a role for ovarian suppression?

Gynecologic oncology reports·2024

Area of Science:

  • Gynecology
  • Oncology
  • Radiology

Background:

  • Postmenopausal ovarian cysts are frequently detected, with an 18% prevalence in screening populations.
  • A significant proportion (60-70%) of simple, unilocular cysts resolve spontaneously.
  • Distinguishing benign from malignant adnexal masses is crucial for appropriate patient management.

Purpose of the Study:

  • To outline optimal management strategies for asymptomatic adnexal masses in postmenopausal women.
  • To differentiate between surveillance and surgical intervention based on cyst characteristics and risk factors.
  • To guide the use of transvaginal ultrasound (TVS) and CA-125 in managing adnexal masses.

Main Methods:

  • Utilizing transvaginal ultrasound (TVS) for initial assessment of adnexal masses.

Related Experiment Videos

  • Employing serial TVS and CA-125 measurements for monitoring.
  • Stratifying management based on cyst morphology (unilocular vs. complex) and size (<5 cm).

    • Main Results:

    • Unilocular cysts with normal CA-125 levels are managed with surveillance via repeat TVS at 3-6 months.
    • Complex masses <5 cm with normal CA-125 warrant closer monitoring with TVS and CA-125 in 4 weeks.
    • Surgical intervention is indicated for masses demonstrating increasing complexity or rising CA-125 levels.

    Conclusions:

    • A structured approach integrating imaging and biomarkers effectively manages postmenopausal adnexal masses.
    • Conservative management is appropriate for low-risk cystic lesions, minimizing unnecessary interventions.
    • Timely surgical referral for intermediate/high-risk cases improves outcomes in potential ovarian cancer scenarios.