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Review
. 2006 Sep;49(3):506-16.
doi: 10.1097/00003081-200609000-00010.

The incidental postmenopausal adnexal mass

J Matt McDonald  1 , Susan C Modesitt
Affiliations
Review

The incidental postmenopausal adnexal mass

J Matt McDonald et al. Clin Obstet Gynecol. 2006 Sep.

Abstract

The postmenopausal ovary continues to produce cysts; the prevalence in an ovarian cancer screening population approaches 18%. Yet 60% to 70% of unilocular cysts resolve spontaneously. Optimal management of an asymptomatic adnexal mass allows surveillance of women at low malignancy risk while triaging intermediate/high-risk women to surgery. Women with unilocular cysts on transvaginal ultrasound (TVS) and a normal CA-125 are monitored with repeat TVS at 3 to 6 months. Those with a complex mass <5 cm and normal CA-125 should have repeat TVS and CA-125 testing in 4 weeks. Surgery is recommended for any women with increasing morphologic complexity or a rising CA-125.

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