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  • Review Article

    Practical Recommendations for the Management of Benign Adnexal Masses

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(9):569-576

    Summary

    Review Article

    Practical Recommendations for the Management of Benign Adnexal Masses

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(9):569-576

    DOI 10.1055/s-0040-1714049

    Views17

    Abstract

    Objective

    To performa comprehensive review to provide practical recommendations regarding the diagnosis and treatment of benign adnexal masses, as well as information for appropriate consent, regarding possible loss of the ovarian reserve.

    Methods

    A comprehensive review of the literature was performed to identify the most relevant data about this subject.

    Results

    In total, 48 studies addressed the necessary aspects of the review, and we described their epidemiology, diagnoses, treatment options with detailed techniques, and perspectives regarding future fertility.

    Conclusions

    Adnexal masses are extremely common. The application of diagnosis algorithms is mandatory to exclude malignancy. A great number of cases can bemanaged with surveillance. Surgery, when necessary, should be performed with adequate techniques. However, even in the hands of experienced surgeons, there is a significant decrease in ovarian reserves, especially in cases of endometriomas. There is an evident necessity of studies that focus on the long-term impact on fertility.

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    Practical Recommendations for the Management of Benign Adnexal Masses

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