Ovarian mass

Last updated: Friday, 06, August, 2010
CausesAppropriate Tests

Diagnosis is based on clinical evaluation and imaging, followed by ovarian biopsy.

FNAB and cyst fluid aspiration is often used when the lesion is cystic and not complex on imaging.

Benign cysts

  • Simple and inclusion cysts
  • Follicular cysts
  • Cystadenomas

Endometriosis

Borderline (proliferating) tumours, especially

  • Serous tumours
  • Mucinous tumours

Carcinoma, especially 

Preoperatively: blood collected for baseline tumour markers eg, carcinoembryonic antigen, CA 125, inhibin.

Tests performed and followed up as appropriate to the operative findings.

  • Serous cystadenocarcinoma
  • Mucinous cystadenocarcinoma

Germ cell tumours, especially 

Human chorionic gonadotrophin (beta subunit), alpha fetoprotein - serum.

  • Teratoma (Dermoid)
  • Dysgerminoma

Sex cord stromal tumours

  • Fibroma/thecoma
  • Granulosa cell tumour Inhibin

Tubo-ovarian infection

See Abscess.