Skip to main content

Ovarian Tumor (Benign)

Elizabeth R. Allocco, MD and Dhivya Kannabiran, MD, FACOG Reviewed 06/2019
 


BASICS

DESCRIPTION

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

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

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 ...

TREATMENT

GENERAL MEASURES

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

  • Premenopausal women should have a repeat US ideally during their follicular phase (day 3 ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Most require only yearly exams or US.

  • Varies by diagnosis

PATIENT EDUCATION

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

REFERENCES

1
Modesitt SC, Pavlik EJ, Ueland FR, et al. Risk of malignancy in unilocular ovarian cystic tumors less than 10 centimeters in diameter. Obstet Gynecol.  2003;102(3):594–599. [View Abst...

ADDITIONAL READING

  • American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Gynecology. Practice Bulletin No. 174. Evaluation and management of adnexal masses. Obstet Gynec...

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 US is the initial imaging test of choice to characterize pelvic masses.

  • Mali...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×