Overview
Diagnosis
Healthcare professionals diagnose adnexal tumors or masses through a combination of physical exams, imaging tests, and blood tests.
Pelvic Exam
During a pelvic exam, a healthcare professional:
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Inserts gloved fingers into the vagina while pressing a hand on the belly to feel the pelvic organs
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Examines the external genitals, vagina, and cervix for any abnormalities
Imaging Tests
Imaging tests help determine the location, size, and characteristics of an adnexal tumor or mass. Common imaging options include:
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Ultrasound – uses sound waves to create images of pelvic organs
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CT scan (computerized tomography) – provides detailed cross-sectional images
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MRI (magnetic resonance imaging) – produces highly detailed images to assess soft tissue
Blood Tests
Blood tests may help identify the cause of an adnexal tumor or mass, including:
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Pregnancy test – to rule out pregnancy-related masses
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Infection markers – to detect underlying infections
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Tumor markers – for example, CA 125 test detects a protein often present in ovarian cancer cells
Treatment of Adnexal Tumors and Masses
Treatment depends on the type, size, and cause of the growth.
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Observation: Small cysts or benign masses may not require treatment and can be monitored over time
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Surgery: Recommended if the tumor or mass is large, causes symptoms, or may be cancerous
When to Seek Care
Seek medical attention if you notice:
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Persistent pelvic pain or discomfort
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Unexplained abdominal swelling
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Changes in menstrual cycles or unusual bleeding
Early evaluation can help determine whether the adnexal mass is benign or requires intervention.
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