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Adnexal tumors in menopausal women

surgery or surveillance?

Burgess, Brian T., DO, PhD; Ueland, Frederick R., MD

doi: 10.1097/GME.0000000000001330
Clinical Corner: NAMS Practice Pearl

Asymptomatic ovarian tumors in menopausal women do not always require surgical removal. Experts recommend an initial evaluation with transvaginal ultrasound to help characterize the tumor's malignant risk. Low-risk tumors can be monitored with ultrasound, whereas high-risk tumors should be referred to a gynecologic oncologist. Indeterminate tumors require secondary testing with the strategies outlined in this Practice Pearl.

Department of Obstetrics and Gynecology, University of Kentucky, Lexington, Kentucky.

Received 14 February, 2019

© 2019 by The North American Menopause Society.