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Evaluation and Management of Adnexal Masses in Postmenopausal Women

[ Vol. 15 , Issue. 1 ]

Author(s):

Deepika Nandamuru, Mary K. Collins and Christopher M. Tarney*   Pages 41 - 45 ( 5 )

Abstract:


In the postmenopausal women, adnexal masses can have numerous etiologies. They can range from benign to neoplastic, with origins from a variety of organ systems. The diagnostic work up includes a thorough history, physical exam, as well as potential imaging and laboratory testing. There should be a low threshold for consultations with oncologists when there are cancer concerns. Specifically for gynecologic neoplasms, a referral to a gynecologic oncologist should be strongly considered. In this paper, there is particular attention to ovarian cancer given the gravity of delayed diagnosis.

Keywords:

Adnexal mass, postmenopausal, ovarian cancer, ROMA, HE4, CA125, OVA.

Affiliation:

Virginia Commonwealth University School of Medicine, Richmond, VA, Department of Obstetrics & Gynecology, Walter Reed National Military Medical Center, Uniformed Services University of the Health Sciences, Bethesda, MD, Gynecologic Oncology Service, John P Murtha Cancer Center, Department of Obstetrics & Gynecology, Walter Reed National Military Medical Center, Uniformed Services University of the Health Sciences, Bethesda, MD

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