USMLE Forum Archives - USMLE Step 3 - Adnexial mass
Adnexial mass
zkadhem - 07-23-09 14:02
A 71 year old retired publisher comes to the office for her annual health maintenance visit. She is in good health and has no complaints. On pelvic examination she has a 10-cm firm mass in her right adnexa, which has both cystic and solid components on ultrasonography. The most appropriate next step is to:
zkadhem - 07-23-09 14:02
A 71 year old retired publisher comes to the office for her annual health maintenance visit. She is in good health and has no complaints. On pelvic examination she has a 10-cm firm mass in her right adnexa, which has both cystic and solid components on ultrasonography. The most appropriate next step is to:
The correct answer and explanation will be available after you answer.
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#1
Re: Adnexial mass
zkadhem - 07-23-09 14:07 Hi,
Please can someone discuss this question? I doubt the right answer.
The common management of an adnexial mass in a postmenopausal woman:
Obtain pelvic US, serum levels of tumor markers specially CA-125 and CEA.
Then we will do abdominal and pelvic ct scan to look at the tumor and to see if there is ascitis.
Now if ascitis is present (which means peritoneal seeding) then we will go for oophorectomy by laprotomy
If ascitis is not present then they can go for laprascopy!
Any comment?
#3
Re: Adnexial mass zorawar - 07-23-09 14:17 cystic and solid components = ca(adenoidcystic) staging ovary ca =surgical
#20
Re: Adnexial mass babbu5508 - 08-30-10 00:27 My answer is: b.
obtain a carcinoembryonic antigen (CEA) tumor marker for ovarian carcnoma diagnosis, and further prognosis with therapy....as the mass has ystc and solid components..
#24
Re: Adnexial mass oranye123 - 04-02-11 07:10 My answer is: e.
Adnexial mass with both solid and cystic components on ultrasound may be malignant in nature hence there is need to suspect ovarian cancer.Exploratory laparotomy will be ideal and staging.
#25
Re: Adnexial mass babbu5508 - 04-04-11 14:36 Adnexial mass with both solid and cystic components on ultrasound may be malignant in nature hence there is need to suspect ovarian cancer.Exploratory laparotomy will be ideal and staging...nicely explained
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