Gostout Bobbie S, Brewer Molly A
Division of Gynecologic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
Clin Obstet Gynecol. 2006 Sep;49(3):448-58. doi: 10.1097/00003081-200609000-00005.
Gynecologists have to differentiate between benign and malignant adnexal masses. We review the evidence supporting to the specialty care of a gynecologic oncologist on the basis of the physical examination, imaging studies, family history, and CA 125 determination. We recommend adherence to the ACOG/SGO Joint Opinion guidelines. Specifically, referral to a gynecologic oncologist seems warranted for postmenopausal women with elevated CA 125, nodular or fixed pelvic mass, metastatic disease, ascites, or family history of breast or ovarian cancer. Premenopausal women should be referred if the CA 125 is elevated above 200 U/mL, there is an evidence of metastatic disease or ascites, or strong family history of breast or ovarian cancer.
妇科医生必须区分附件肿块的良性和恶性。我们根据体格检查、影像学检查、家族史和CA 125测定结果，回顾支持妇科肿瘤学家专科护理的证据。我们建议遵循美国妇产科医师学会/美国妇科肿瘤学会联合意见指南。具体而言，对于CA 125升高、盆腔肿块呈结节状或固定、有转移性疾病、腹水或有乳腺癌或卵巢癌家族史的绝经后妇女，转诊至妇科肿瘤学家处似乎是必要的。如果绝经前妇女的CA 125升高超过200 U/mL、有转移性疾病或腹水的证据，或有强烈的乳腺癌或卵巢癌家族史，则应转诊。
