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Adnexal masses in postmenopausal women
Obstetrics and Gynecology
|October 1, 1987
Summary
In postmenopausal women, larger adnexal masses and increasing age correlate with higher malignancy risk. Ultrasound is more accurate than pelvic exams for size assessment, questioning routine surgery for small ovarian enlargements.
Area of Science:
- Gynecologic Oncology
- Diagnostic Imaging
- Postmenopausal Health
Background:
- Adnexal masses are common in postmenopausal women, necessitating accurate diagnostic approaches.
- Distinguishing benign from malignant masses is crucial for appropriate patient management.
Purpose of the Study:
- To evaluate the relationship between adnexal mass size, patient age, and malignancy risk in postmenopausal women.
- To compare the accuracy of pelvic examination and ultrasound in assessing adnexal mass size.
Main Methods:
- Retrospective review of adnexal masses in postmenopausal women.
- Analysis of mass size, patient age, pathology, and diagnostic accuracy of pelvic examination versus ultrasound.
Main Results:
- Malignancy rates increased significantly with adnexal mass size (e.g., 40/63 >10 cm malignant).
- Higher malignancy proportion correlated with increasing patient age.
- Ultrasound demonstrated superior accuracy (87%) in size prediction compared to pelvic examination (68%).
Conclusions:
- Adnexal mass size and patient age are critical factors in assessing malignancy risk.
- Ultrasound is a more reliable tool for size assessment than pelvic examination.
- Findings challenge the routine surgical intervention for all minimally enlarged ovaries in postmenopausal women.