The widespread use of vaginal ultrasound as an integral part of the gynecologic clinical examination in many countries has led to the unexpected finding of adnexal mass. The implications of the finding of an adnexal mass in an asymptomatic postmenopausal woman can be serious if it is malignant and is not excised, because ovarian cancer has an indolent course and when it becomes symptomatic it is often fatal. The aim of the present review is to discuss the evaluation and management of incidental adnexal masses in postmenopausal women. Despite careful evaluation with ultrasound and biomarkers, a small number of patients will remain without a conclusive diagnosis. It is our opinion, based on empirical evidence discussed here, that conservative therapy with observation can be safely applied in the majority of these patients.
Cite this article
Volume | Year
Open Access Review
Asymptomatic adnexal mass in postmenopausal women
1 First Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece
2 Second Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Hippokration Hospital, Thessaloniki, Greece
*Correspondence: email@example.com (ANASTASIA VATOPOULOU)
Clin. Exp. Obstet. Gynecol. 2020, 47(3), 320–323; https://doi.org/10.31083/j.ceog.2020.03.5254
Submitted: 9 May 2019 | Accepted: 19 July 2019 | Published: 15 June 2020
Copyright: © 2020 Vatopoulou and Papanikolaou Published by IMR Press.
This is an open access article under the CC BY 4.0 license