The management of adnexal masses

Noam Smorgick, David Schneider, Moti Pansky, Arie Herman, Reuvit Halperin

Research output: Contribution to journalReview articlepeer-review


Asymptomatic adnexal masses have become common findings due to the widespread use of the transvaginal ultrasound. Most asymptomatic adnexal masses are benign, but malignancy should still be excluded. The assessment of women with adnexal masses, intended to detect the ones suspicious for malignancy, includes the medical history, physical examination, ultrasound scan with doppler flows, and, in some cases, the ca-125 levels. Once the patient has completed the primary assessment, the important decision is whether to follow her conservatively (if a benign condition is probable), or to proceed to surgery (if malignancy is suspected). This review discusses the evaluation, differential diagnosis, and general approach to adnexal masses, and proposes a management flow chart.

Original languageEnglish
Pages (from-to)49-52
Number of pages4
Issue number1
StatePublished - Jan 2008


  • Adnexa
  • CA-125
  • Cyst
  • Ovarian cancer
  • Ultrasound


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