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Ovarian Tumor (Benign)

Dhivya Kannabiran, MD Reviewed 06/2021
 


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

  • Often 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 phas...

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...

ADDITIONAL READING

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

CODES

ICD10

  • D27.9 Benign neoplasm of unspecified ovary

  • D27.0 Benign neoplasm of right ovary

  • D27.1 Benign neoplasm of left ovary

SNOMED

  • 92260003 Benign neoplasm of ovary

  • 254865006 Fibroma of ovary

  • 119421006 S...

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...

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