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Adnexal Mass

Masses arising from the ovary or tube need early evaluation.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Adnexal Mass?

An adnexal mass refers to any lesion of the ovary, fallopian tube or supporting ligaments detected on pelvic examination or imaging. Functional ovarian cysts dominate in premenopausal women, whereas the risk of malignancy rises after menopause.

Ultrasound assesses the structure (cystic, solid or mixed), size, laterality, internal septations and papillary projections. Tumour markers such as CA-125 and HE4 (with the ROMA index) help risk-stratify women, particularly postmenopausal patients.

Symptoms

Pelvic pain or pressure
Bloating and abdominal distension
Menstrual irregularity
Dyspareunia
Urinary frequency or constipation from mass effect
Mass detected incidentally on imaging

Risk Factors

Postmenopausal status
Family history of breast or ovarian cancer (BRCA mutations)
Endometriosis
Nulliparity or infertility
Lynch syndrome
Hormonal stimulation

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When pelvic pain, bloating or a palpable mass is noted
  • When an adnexal mass is found on imaging
  • Persistent symptoms with elevated CA-125
  • Postmenopausal mass discovery (urgent referral)

Treatment Methods

01
Transvaginal ultrasound and risk-stratified follow-up
02
Tumour markers including CA-125, HE4 and the ROMA index
03
Conservative follow-up of simple cysts under 5 cm in premenopausal women
04
Operative laparoscopy for symptomatic or growing benign masses
05
Staging laparotomy in suspected malignancy
06
Multidisciplinary referral to gynaecologic oncology when warranted

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.