First International Consensus Report on Adnexal Masses: Management Recommendations

Area of Science:

• Gynecologic Oncology
• Radiology
• Pathology

Background:

• Adnexal masses require improved preoperative assessment, as evidenced by higher surgery rates in the US compared to European trials.
• Current guidelines may lead to unnecessary surgeries for benign adnexal masses, particularly in postmenopausal women.

Framework:

• International consensus conference involving experts in gynecology, gynecologic oncology, radiology, and pathology.
• Development of recommendations for clinical assessment and management of adnexal masses.

Implementation:

• Promoting a more conservative approach for benign adnexal masses.
• Optimizing physician referral patterns to gynecologic oncologists for suspected malignancies.
• Offering next-step options for sonographically indeterminate adnexal masses, including risk-assessment algorithms and expert sonologist referral.

Implications:

• Improved risk stratification for indeterminate adnexal masses.
• Enhanced clinical management and preoperative triage patterns.
• Ultimately, improved patient care for adnexal masses and suspected ovarian malignancies.