Adnexal masses: US characterization and reporting

Area of Science:

• Radiology
• Gynecologic Imaging

Background:

• Pelvic ultrasonography (US) is the most common imaging modality for adnexal masses.
• The majority of adnexal masses are benign, but distinguishing them from malignant ones is crucial.

Purpose of the Study:

• To discuss key ultrasonography features for characterizing adnexal masses.
• To review the role of follow-up US and alternative imaging modalities.
• To emphasize the importance of accurate reporting of adnexal masses.

Main Methods:

• Review of important ultrasonography features for adnexal mass characterization.
• Discussion of diagnostic criteria and imaging findings.
• Evaluation of the utility of follow-up imaging and alternative modalities.

Main Results:

• Ultrasonography can adequately characterize approximately 90% of adnexal masses.
• Specific US features aid in differentiating benign from malignant adnexal lesions.
• Careful reporting is essential for patient management.

Conclusions:

• Pelvic ultrasonography is highly effective for evaluating adnexal masses.
• Understanding key US features enables confident diagnosis in most cases.
• Appropriate use of follow-up and alternative imaging complements US findings.