Diagnostics (Oct 2021)

Conservative Management of Asymptomatic Adnexal Masses Classified as Benign by the IOTA ADNEX Model: A Prospective Multicenter Portuguese Study

  • Marta Espanhol Brito,
  • André Borges,
  • Sofia Rodrigues,
  • Paula Ambrósio,
  • Raquel Condeço,
  • Abílio Lacerda,
  • Maria José Bernardo,
  • Patrícia Pinto,
  • Dusan Djokovic

DOI
https://doi.org/10.3390/diagnostics11111992
Journal volume & issue
Vol. 11, no. 11
p. 1992

Abstract

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This prospective multicentric study aiming to determine the incidence of complications (malignant transformation, torsion or rupture) during conservative management of adnexal masses was performed in two Portuguese tertiary referral hospitals. It included ≥18-year-old, non-pregnant patients with asymptomatic adnexal masses (associated IOTA ADNEX risk of malignancy p < 0.05). Surgical intervention was performed in 18.4% of the cases; one borderline and one invasive FIGO IA stage cancer were diagnosed. There was an isolated case of ovary torsion (0.17%). These data support conservative management as a safe option for sonographically benign, stable and asymptomatic adnexal masses before and after menopause and highlight the need for expedite treatment of symptomatic or increased-morphological-complexity lesions.

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