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Pelvic masses.

Spencer P Barney¹, Carolyn Y Muller, Karen D Bradshaw

¹Department of Obstetrics and Gynecology, University of New Mexico Health Science Center, 2211 Lomas Blvd. NE, Albuquerque, NM 87131, USA. sbarney@salud.unm.edu

The Medical Clinics of North America

|August 30, 2008

Summary

This guide helps non-specialist physicians diagnose and manage common nonmalignant pelvic masses in women. It covers examination, imaging, lab tests, and treatment variations for different age groups.

Area of Science:

Gynecology
Women's Health
Diagnostic Imaging

Background:

Pelvic masses are common in women across all age groups.
Most pelvic masses can be managed by generalist physicians.
Clear diagnostic and management guidelines are essential for non-specialist care.

Purpose of the Study:

To provide non-obstetric and non-gynecologic physicians with guidance on diagnosing and managing nonmalignant pelvic masses.
To outline appropriate diagnostic workup, including physical examination, imaging, and laboratory tests.
To detail treatment variations based on patient age (adolescents, pre- and postmenopausal women) and provide referral criteria for suspected malignancies.

Main Methods:

Review of current literature and clinical guidelines for pelvic mass diagnosis and management.

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Emphasis on physical examination techniques relevant to pelvic masses.

Discussion of appropriate imaging modalities (e.g., ultrasound, MRI) and laboratory investigations.

Outline of treatment strategies for benign pelvic masses.

Criteria for referral to specialists for suspected malignant conditions.

Main Results:

Nonmalignant pelvic masses are frequently encountered and generally manageable in a generalist setting.
A systematic approach involving physical examination, targeted imaging, and relevant lab tests aids diagnosis.
Treatment strategies vary based on patient demographics (age, menopausal status) and mass characteristics.
Clear referral guidelines are crucial for timely management of potentially malignant masses.

Conclusions:

Non-specialist physicians can effectively diagnose and manage most nonmalignant pelvic masses.
Adherence to established diagnostic and treatment protocols ensures optimal patient care.
Early identification and appropriate referral of suspicious masses are critical for improving outcomes in women's health.