ovarian%20mass
OVARIAN MASS
Ovarian cysts are typically noted after clinical screening, or as a result of exam for a suspected pelvic mass, or an incidental finding in investigations done for other reasons.
Most ovarian masses manifest with few or mild nonspecific symptoms.
Ovarian masses in women of reproductive age are mostly benign but the risk of malignancy increases with age.
Ovarian cysts in the prepubertal patients especially after the first week of life are abnormal and likely to be neoplastic. In adolescent patients, majority of ovarian masses are functional cysts.

Ovarian%20mass Signs and Symptoms

Introduction

  • Ovarian cysts in prepubertal patients especially after the first week of life are abnormal and likely to be neoplastic, prompt ultrasound (US) evaluation and referral are warranted 
  • In adolescent patients, majority of ovarian masses are functional cysts
    • The most common neoplastic ovarian tumor in this age group is benign cystic teratoma of the ovary
  • Ovarian mass in women of reproductive age is mostly benign but the risk of malignancy increases with age
    • In most adnexal masses, malignancy is found in only 7-13% of premenopausal and 8-45% of postmenopausal patients
    • Risk of malignancy for ovarian tumor in patients <45 years is <1 in 15 while in postmenopausal women, the figure is 50% at the time of laparotomy 

Signs and Symptoms

  • Most ovarian masses manifest with few or mild nonspecific symptoms
    • Common symptoms include abdominal distension, abdominal pain or discomfort, metrorrhagia, dyspareunia, infertility, lower abdominal pressure sensation and urinary or gastrointestinal (GI) symptoms
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Pearl Toh, 6 days ago
Having migraine during midlife appears to be associated with a higher risk of developing dementia in later life, according to a large population-based longitudinal Danish study presented at the AHS* 2020 Virtual Meeting, indicating that migraine may be a risk factor for dementia.
6 days ago
Patients with psoriatic arthritis (PsA) often suffer from liver abnormalities, which are associated with higher body mass index (BMI), daily consumption of alcohol, more severe disease, and some therapies, according to a recent study.
Christina Lau, 4 days ago

Pembrolizumab in combination with chemotherapy significantly improves progression-free survival (PFS) vs chemotherapy alone in patients with previously untreated, locally recurrent inoperable or metastatic triple-negative breast cancer (TNBC), results of the KEYNOTE-355 study have shown.

Pearl Toh, 25 Jun 2020
The type of face mask matters, in addition to sterilization method, in influencing subsequent filtration efficiency after sterilization process for reuse, a new study finds.