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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
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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.