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Human Reproduction, Vol. 5, No. 3, pp. 279-281, 1990
© 1990 European Society of Human Reproduction and Embryology

research-article

Detection and management of pathological, non-palpable, cystic adnexal masses

Robert E. Anderson1,3, Paulo C. Serafini2, Richard J. Paulson1, Mark V. Sauer1 and Richard P. Marrs2

1Department of Obstetrics and Gynecology, University of Southern California School of Medicine Los Angeles CA USA 2Department of Obstetrics and Gynecology, Hospital of the Good Samaritan Los Angeles CA USA

Correspondence: 3To whom correspondence should be addressed at351 Hospital Road, No. 316 Newport Beach, CA 92663, USA

Ten patients with normal bimanual pelvic examinations were found to have small, non-palpable adnexal cysts by transvaginal ultrasound examination. After failing to respond to a course of observation and suppressive therapy with combination oral contraceptives, surgical evaluation was performed. In each case, histological examination returned a pathological diagnosis (endometrioma, serous cystadenoma, mature cystic teratoma, inflammatory cyst). This series suggests that transvaginal ultrasonography may be used to detect adnexal pathology before it is clinically apparent. A scheme for management of this clinical entity is proposed.

Key words: adnexal mass/ultrasonography


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