| Reproductive Age Group - Ovarian Masses
During the reproductive years, the most common ovarian masses are
benign.
About 2/3 ovarian tumors are encountered during the reproductive
years.
Most ovarian tumors (80% to 85%) are benign, and 2/3 of these occur
in women between 20 and 44 y/o.
The chance that a primary ovarian tumor is malignant in a patient < 45
y/o is less than 1 in 15.
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Reproductive Age Group - Ovarian Masses
Pelvic ndings in patients with benign and malignant tumors di er.
Benign - unilateral, cystic, mobile, and smooth
Malignant -bilateral, solid, xed, irregular, and associated with ascites,
cul-de-sac nodules, and a rapid rate of growth
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Figure 13-14 Preoperative evaluation of the patient with an
adnexal mass
In terms of assessing ovarian masses, the distribution of primary
ovarian neoplasms by decade of life can be helpful
Ovarian masses in women of reproductive age are most likely to be
benign, but the possibility of malignancy must be considered
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