Adnexal mass in the postmenopausal patient

Area of Science:

• Gynecology
• Oncology
• Radiology

Background:

• Adnexal masses in postmenopausal women present a diagnostic challenge due to increased malignancy risk, though most are benign.
• Effective management balances identifying malignancy, particularly ovarian cancer, with avoiding unnecessary procedures for benign lesions.

Purpose of the Study:

• To outline the evaluation and management of adnexal masses in postmenopausal women.
• To highlight the role of imaging and tumor markers in differentiating benign from malignant adnexal masses.

Main Methods:

• Review of current diagnostic approaches for postmenopausal adnexal masses.
• Emphasis on transvaginal ultrasound as the primary imaging modality.
• Consideration of tumor markers in the diagnostic workup.

Main Results:

• Transvaginal ultrasound provides high-quality imaging for detailed mass characterization.
• This modality is cost-effective and widely available for evaluating adnexal masses.
• Suspicious masses warrant referral to gynecologic oncologists for specialized care.

Conclusions:

• Transvaginal ultrasound is crucial for evaluating postmenopausal adnexal masses.
• A systematic approach incorporating imaging and clinical assessment is vital.
• Timely referral for suspicious findings ensures optimal patient outcomes.