BACKGROUND Accurate evaluation of adnexal masses allows correct surgical procedure, avoiding unnecessary surgery. PURPOSE To evaluate the accuracy of magnetic resonance imaging (MRI) in the diagnosis of malignancy of adnexal lesions. MATERIAL AND METHODS We retrospectively reviewed the pelvic MRI scans of 161 patients with 199 surgically confirmed adnexal masses, between November 1998 and J...

This report describes the case of a 50-year-old female patient who presented with bilateral adnexal lump and dysfunctional uterine bleeding with altered bowel habits. Computed tomography of the abdomen and pelvis revealed a bilateral adnexal lump situated in both the ovaries and a lobular mass of 8 cm in the rectum. Proctoscopy revealed an elevated irregular rectal lesion. The microscopic exami...

Microcystic adnexal carcinoma is a rare type of tumor, with about 300 cases reported globally. Due to its similar histology with other tumors, it is occasionally misdiagnosed as desmoplastic trichoepithelioma, basal cell carcinoma, syringoma, and so on. We present a patient with a mass on the perioral area who was preoperatively diagnosed with trichoepithelioma. Microcystic adnexal carcinoma wa...

Background: Liposarcoma is the most common soft tissue sarcomas in adults, and it typically occurs in either the retroperitoneum or extremities. However, this malignant tumor is very rare in the female reproductive system. Case: As 58-year-old female presented with acute abdominal pain, and computed tomography (CT) scan detected multiple masses measuring 4-6 cm in size with a fatty density in h...

Pelvic ultrasound is commonly used as part of the routine gynecologic exams, resulting in diagnosis of adnexal masses, the majority of which are functional or benign. However, due to the possible complications involving benign adnexal cysts (ie, adnexal torsion, pelvic pain) and the utmost importance of early diagnosis and treatment of ovarian cancer, the correct ultrasound diagnosis of adnexal...

Transvaginal color flow and pulsed Doppler sonography has shown promise in the evaluation and characterization of adnexal masses and may ultimately play a role in ovarian cancer screening.',' A relative increase in the diastolic flow in malignant lesions has been previously reported. Pathologic evidence suggests that this phenomenon reflects the paucity of smooth muscle within tumor vessels alo...

Syringocystadenoma papilliferum (SCAP) is an uncommon benign adnexal tumor of the skin. It is frequently seen in association with other benign adnexal lesions, such as nevus sebaceous, apocrine nevus, tubular apocrine adenoma, apocrine hidrocystoma, apocrine cystadenoma, and clear cell syringoma. The unusual reported locations of SCAP include the head and neck, the buttock, the vulva, the scrot...

Objective: Laparoscopic oophoropexy is performed by a minimally invasive technique that can be offered to any age premenopausal women with an appropriate indication. Adnexal torsion is an uncommon but important cause of emergency admission to the gynaecologist. Torsion of the adnexa has traditionally been treated by involved surgical excision of the affected structure, usually via laparotomy, b...

Aims To assess whether replacing CA125 with HE4 in the classical formulas of risk of malignancy indices (RMIs) can improve diagnostic performance. Methods For each of 312 patients with an adnexal mass, classical RMIs 1-4 were computed based on ultrasound score, menopausal status, and serum CA125 levels. Additionally, modified RMIs (mRMIs) 1-4 were recalculated by replacing CA125 with HE4. R...

The aim of this review is to increase the understanding of management of adnexal cysts detected antenatally. Advancements in ultrasound technology have aided in the early detection of adnexal cysts. Adnexal cysts are recognized as most often being a consequence of the hormonal milieu associated with pregnancy. Often, these cysts are simple-appearing and measure smaller than four centimeters. Ho...