Clinical management of incidental findings on pelvic adnexal masses
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302015000500469 |
Resumo: | Summary Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphological parameters with Doppler study, serum carcinona antigen 125 and investigation of a symptom index may improve diagnosis. Surgical approach should be considered whenever there are suspicious images, rapid growth of cysts, changes in the appearance compared to the initial evaluation or when the patient has symptoms. Future studies on genetic and molecular mechanisms may help explain the pathophysiology of ovarian cancer, improving early diagnosis and treatment. |
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Clinical management of incidental findings on pelvic adnexal massesovarian cystsovarian neoplasm'sadnexal diseasesultrasonographyCA-125 antigenSummary Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphological parameters with Doppler study, serum carcinona antigen 125 and investigation of a symptom index may improve diagnosis. Surgical approach should be considered whenever there are suspicious images, rapid growth of cysts, changes in the appearance compared to the initial evaluation or when the patient has symptoms. Future studies on genetic and molecular mechanisms may help explain the pathophysiology of ovarian cancer, improving early diagnosis and treatment.Associação Médica Brasileira2015-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302015000500469Revista da Associação Médica Brasileira v.61 n.5 2015reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.61.05.469info:eu-repo/semantics/openAccessDias,Daniel SpadotoBueloni-Dias,Flávia NevesDelmanto,ArmandoTonon,Ângela Favorito SantarémTayfour,Najla MohamadTraiman,PauloDias,Rogérioeng2015-11-19T00:00:00Zoai:scielo:S0104-42302015000500469Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2015-11-19T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Clinical management of incidental findings on pelvic adnexal masses |
title |
Clinical management of incidental findings on pelvic adnexal masses |
spellingShingle |
Clinical management of incidental findings on pelvic adnexal masses Dias,Daniel Spadoto ovarian cysts ovarian neoplasm's adnexal diseases ultrasonography CA-125 antigen |
title_short |
Clinical management of incidental findings on pelvic adnexal masses |
title_full |
Clinical management of incidental findings on pelvic adnexal masses |
title_fullStr |
Clinical management of incidental findings on pelvic adnexal masses |
title_full_unstemmed |
Clinical management of incidental findings on pelvic adnexal masses |
title_sort |
Clinical management of incidental findings on pelvic adnexal masses |
author |
Dias,Daniel Spadoto |
author_facet |
Dias,Daniel Spadoto Bueloni-Dias,Flávia Neves Delmanto,Armando Tonon,Ângela Favorito Santarém Tayfour,Najla Mohamad Traiman,Paulo Dias,Rogério |
author_role |
author |
author2 |
Bueloni-Dias,Flávia Neves Delmanto,Armando Tonon,Ângela Favorito Santarém Tayfour,Najla Mohamad Traiman,Paulo Dias,Rogério |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Dias,Daniel Spadoto Bueloni-Dias,Flávia Neves Delmanto,Armando Tonon,Ângela Favorito Santarém Tayfour,Najla Mohamad Traiman,Paulo Dias,Rogério |
dc.subject.por.fl_str_mv |
ovarian cysts ovarian neoplasm's adnexal diseases ultrasonography CA-125 antigen |
topic |
ovarian cysts ovarian neoplasm's adnexal diseases ultrasonography CA-125 antigen |
description |
Summary Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphological parameters with Doppler study, serum carcinona antigen 125 and investigation of a symptom index may improve diagnosis. Surgical approach should be considered whenever there are suspicious images, rapid growth of cysts, changes in the appearance compared to the initial evaluation or when the patient has symptoms. Future studies on genetic and molecular mechanisms may help explain the pathophysiology of ovarian cancer, improving early diagnosis and treatment. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302015000500469 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302015000500469 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.61.05.469 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.61 n.5 2015 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
_version_ |
1754212831592448000 |