elitoki
Forum Guru
Topics: 54
Posts: 508
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a 28 y/o nulligravid woman comes for a routine health maintenance examination. she has had progressively severe dysmenorrhea over the past 6 mos adequately controlled by NSAID. Pelvic examination shows a normal vagina and cervix. the uterus is retroverted and fixed, and there is nodularity of the cul-de-sac. A 6 cm left adnexal mass is palpated. Transvaginal USG shows a 7 cm septated adnexal mass. Four wks later, there is no change inthe adnexal mass, which of the following is the most appropriate diagnostic test?
a) measumente of serum CA 125 level
b) barium enema
c) CT scan of the pelvis
d) MRI of the pelvis
e) laparoscopy.
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| dermatology
Forum Elite
Topics: 30
Posts: 293
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laproscopy ..... endometriosis
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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What about 7cm septated adnexal mass???
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| titly
Forum Elite
Topics: 20
Posts: 300
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A??
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we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
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| fnx
Forum Newbie
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Posts: 4
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The most common cause for Complex Adnexal Mass in reproductive age is Dermoid Cyst (Benign Cystic Teratoma) followed by ENDOMETRIOMA, Tuboovarian Abscess and Cancer. This patients probably has endometrioma considering the history of dysmenorrhea. Either way the management of complex mass is surgery for biopsy, and the tumor markers are used for followup if there is cancer. I chose Laparoscopy
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