How to manage an adnexal mass

OBG Management PubMed

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December 2007 · Vol. 19, No. 12

What imaging is best? Are tumor markers informative? When is surgery indicated? And when is it time to refer?

Fast Track

A pregnant woman who has an adnexal mass that requires additional evaluation after US imaging should undergo MRI without contrast

If the mass is mobile and small enough to fit into a bag, laparoscopic removal is appropriate

Cholecystitis, appendicitis, and ovarian torsion require operative intervention regardless of gestational age

Be careful not to remove a corpus luteum before the 14th week of gestation

IN THIS ARTICLE

David G. Mutch, MD;

Dr. Mutch is The Judith and Ira C. Gall Professor and Director of the Division of Gynecologic Oncology at Washington University in St. Louis.

Christy R. Bleckman, MD

Dr. Bleckman is a Resident Physician in the Department of Obstetrics and Gynecology at Washington University in St. Louis.

The authors report no financial relationships relevant to this article.

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