Ovarian Tumor (Benign)

Elizabeth R. Allocco, MD and Dhivya Kannabiran, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • The ovaries are a source of many tumor types as they have complex histologies and embryonic origins.

  • Adnexal masses have a wide differential diagnosis, including malignant or benign t...

DIAGNOSIS

HISTORY

  • Usually asymptomatic

  • Abdominal or pelvic pain

    • Acute onset of severe pain associated with nausea and vomiting may indicate torsion or cyst rupture.

  • Menstrual irregularities and current ph...

TREATMENT

GENERAL MEASURES

  • Expectant management is appropriate for most ovarian structures with benign features.

  • Premenopausal women should have a repeat ultrasound ideally during their follicular phase...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Most require only yearly exams or ultrasound.

  • Varies by diagnosis

PATIENT EDUCATION

A variety of excellent patient education materials (e.g., “Ovar...

REFERENCES

Millar DM, Blake JM, Stringer DA, et al. Prepubertal ovarian cyst formation: 5 years' experience. Obstet Gynecol.  1993;81(3):434–438.  [View Abstract]
Pavlik EJ, Ueland FR, Miller RW...

ADDITIONAL READING

  • American College of Obstetricians and Gynecologists. ACOG Practice Bulletin. Management of adnexal masses. Obstet Gynecol.  2007;110(1):201–214.

  • Crayford TJ, Campbell S, Bourne ...

CODES

ICD10

  • D27.9 Benign neoplasm of unspecified ovary

  • D27.0 Benign neoplasm of right ovary

  • D27.1 Benign neoplasm of left ovary

ICD9

220 Benign neoplasm of ovary 

SNOMED

  • 92260003 Benign neoplasm of ovary

  • 2548...

CLINICAL PEARLS

  • In perimenopausal patients, follicles and simple cysts <3 cm are normal physiologic findings.

  • Transvaginal pelvic ultrasound is the initial imaging test of choice to characterize pel...

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