What is considered a large pelvic mass?

Introduction. During routine clinical practice, radiologists often must evaluate a wide range of pelvic diseases, one of the most problematic being large (>5-cm) masses. Large pelvic masses in women may originate from the uterus, cervix, ovaries, fallopian tubes, peritoneum, or retroperitoneum.

Can a pelvic ultrasound detect a mass?

An ultrasound of the pelvis is usually the first test that is ordered to see if there is any problem with the ovaries or other pelvic organs. It can detect ovarian masses and help the doctor know if they are fluid-filled ovarian cysts or ovarian tumors.

What percentage of complex ovarian cysts are cancerous?

Complex ovarian cysts may need further treatment. Five to 10 percent of women need surgery to remove an ovarian cyst. Thirteen to 21 percent of these cysts turn out to be cancerous.

Do adnexal masses need to be removed?

Most adnexal tumors are benign (noncancerous), but they can be malignant (cancerous). Many adnexal masses go away on their own, but some require treatment, which may include surgery.

How do you get rid of pelvic mass?

Although medical management is possible for treating many types of pelvic masses, surgery often provides the highest success rates. If cancer is detected, treatment may include surgery alone, or a combination of surgery and chemotherapy.

How do they remove a mass from your uterus?

In a myomectomy, your surgeon removes the fibroids, leaving the uterus in place. If the fibroids are few in number, you and your doctor may opt for a laparoscopic or robotic procedure, which uses slender instruments inserted through small incisions in your abdomen to remove the fibroids from your uterus.

What can a transvaginal ultrasound detect?

Transvaginal ultrasound is an examination of the female pelvis. It helps to see if there is any abnormality in the uterus (womb), cervix (the neck of the womb), endometrium (lining of the womb), fallopian tubes, ovaries, bladder or the pelvic cavity.

Can an ultrasound detect ovarian cysts?

A doctor may feel a cyst during a pelvic exam. Ultrasound. An ultrasound can pinpoint the location, size, and makeup of ovarian cysts. Abdominal ultrasound and vaginal ultrasound can evaluate ovarian cysts.

Can an ultrasound tell if an ovarian cyst is cancerous?

Vaginal ultrasound can help to show whether any cysts on your ovaries contain cancer or not. If a cyst has any solid areas it is more likely to be cancer. Sometimes, in women who are past their menopause, the ovaries do not show up on an ultrasound.

How do you know if a complex ovarian cyst is cancerous?

Transvaginal ultrasound, especially 3D ultrasound, can help physicians differentiate between benign simple cysts and potentially cancerous complex ovarian masses. For example, cysts that contain papillary structures, solid areas and increased vascularity are more likely to be malignant.