绝经后偶然发现的附件包块。

The incidental postmenopausal adnexal mass.

作者信息

McDonald J Matt, Modesitt Susan C

机构信息

Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Kentucky Chandler Medical Center, Lexington, Kentucky 40536-0298, USA.

出版信息

Clin Obstet Gynecol. 2006 Sep;49(3):506-16. doi: 10.1097/00003081-200609000-00010.

DOI:10.1097/00003081-200609000-00010

PMID:16885657

Abstract

The postmenopausal ovary continues to produce cysts; the prevalence in an ovarian cancer screening population approaches 18%. Yet 60% to 70% of unilocular cysts resolve spontaneously. Optimal management of an asymptomatic adnexal mass allows surveillance of women at low malignancy risk while triaging intermediate/high-risk women to surgery. Women with unilocular cysts on transvaginal ultrasound (TVS) and a normal CA-125 are monitored with repeat TVS at 3 to 6 months. Those with a complex mass <5 cm and normal CA-125 should have repeat TVS and CA-125 testing in 4 weeks. Surgery is recommended for any women with increasing morphologic complexity or a rising CA-125.

摘要

绝经后的卵巢仍会继续产生囊肿；在卵巢癌筛查人群中的患病率接近18%。然而，60%至70%的单房囊肿会自行消退。对于无症状附件包块的最佳管理方法是，对低恶性风险的女性进行监测，同时将中/高风险的女性分流至手术治疗。经阴道超声（TVS）检查发现单房囊肿且CA-125正常的女性，每3至6个月进行一次TVS复查。对于肿物为复杂性且直径<5 cm、CA-125正常的女性，应在4周后复查TVS和CA-125。对于任何形态复杂性增加或CA-125升高的女性，建议进行手术。