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02 December 2020, Volume 36 Issue 12 Previous Issue    Next Issue

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Differential diagnosis of benign and malignant adnexal masses. ZHAO Shu-ping，SANG Chang-mei 2020, 36(12): 1137-1140.  DOI: 10.19538/j.fk2020120103 Abstract ( )   Adnexal mass is a common gynecological disease. Early diagnosis and treatment have an important relationship with the survival and prognosis of patients. The early identification of adnexal masses has always been a problem and the differential diagnosis of benign and malignant needs to rely on a detailed medical history, combined with a comprehensive assessment of signs, age, family history and necessary auxiliary examinations. The treatment and prognosis of different adnexal masses are completely different, so accurate judgment of benign and malignant adnexal masses has important clinical significance.

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Diagnosis and treatment strategies for adnexal masses in adolescents. YANG Jia-xin 2020, 36(12): 1140-1145.  DOI: 10.19538/j.fk2020120104 Abstract ( )   Ovarian tumors in children and adolescents are rare diseases. The distribution of neoplasms in the pediatric population is different from that in adults; benign mature cystic teratoma is the most common ovarian tumor in children Although the majority of tumors are benign，the diagnosis and management present various challenges that require a wide range of expertise. The multidisciplinary team ensures not only accurate diagnosis and correct and minimally invasive management，but also minimal psychological impact and the preservation of fertility. During management a multidisciplinary team is essential for the physical and psycho-emotional wellbeing of this vulnerable population of patients. This article outlines the multidisciplinary team approach to ovarian masses in children and adolescents. The team includes pediatric oncologists，gynecological surgeons，pathologists，radiologists，fertility experts，geneticists and psycho-social services.

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Diagnosis strategy for adnexal masses during pregnancy. WANG Zhi-hui， SHENG Xiu-jie 2020, 36(12): 1145-1148.  DOI: 10.19538/j.fk2020120105 Abstract ( )   The adnexal masses during pregnancy include physiological cysts， inflammatory masses， benign neoplasms and malignant neoplasms， and its incidence has been increasing in recent years. Physiological cysts usually spontaneously resolve in the middle or late stage of pregnancy or after delivery. Benign ovarian neoplasms without complications or obstruction of the birth canal can be closely observed during pregnancy，while malignant ovarian neoplasms which endanger the safety of both mothers and fetuses require active intervention. Therefore， it is of great significance to make diagnosis and differential diagnosis of ovarian malignant neoplasms in pregnancy. During the diagnostic process， the results of imaging tests and tumor markers need to take pregnancy into consideration. This article mainly describes the diagnostic methods and characteristics of adnexal mass during pregnancy.

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Diagnostic strategies for ovarian tumors in post-menopausal women. ZHANG Yan，MAO Lin 2020, 36(12): 1148-1153.  DOI: 10.19538/j.fk2020120106 Abstract ( )   Although the ovary of postmenopausal woman is gradually shrinking, but still have certain activity. Under the influence of many factors, it is easy to lead to the occurrence of tumors, especially ovarian malignancies, which are difficult to identify and have high mortality rates. At present, the diagnosis of ovarian tumor mainly depends on imaging and ovarian-specific tumor markers, this article introduces its diagnosis and identification diagnosis.

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Application of ultrasound imaging in the diagnosis of adnexal masses. YANG Yao-zhang，YU Jin-sui 2020, 36(12): 1153-1157.  DOI: 10.19538/j.fk2020120107 Abstract ( )   Adnexal masses are the most prevalent conditions in gynecological diseases. Due to their special anatomical sites and hidden symptoms，the most suitable treatment time is often missed when diagnosis is made，which seriously affects women's health. As one of the main diagnostic methods，ultrasound imaging can be used to diagnose the adnexal mass through different techniques，so as to achieve the goal of early and accurate detection. In this paper，the application of ultrasound imaging technique in the diagnosis of adnexal mass is reviewed.

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Value of CT and MRI in the diagnosis of adnexal masses. SONG Ting 2020, 36(12): 1157-1160.  DOI: 10.19538/j.fk2020120108 Abstract ( )   CT and MRI can differentiate benign adnexal masses from malignant adnexal masses as well as inflammatory masses，but MRI is superior to CT. In this paper，the classification of adnexal mass， imaging characteristics of benign，malignant and inflammatory masses，and the differentiation features are discussed. Moreover，CT and MRI play a key role in staging malignant ovarian tumors and diagnosing adnexal torsion. It is expected that CT and MRI can provide precise information on the diagnosis and treatment of adnexal mass.

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Diagnosis strategy of adnexal inflammatory mass. WANG Cui-cui，MA Xiao-xin 2020, 36(12): 1160-1163.  DOI: 10.19538/j.fk2020120109 Abstract ( )   Adnexal inflammatory mass refers to adnexal mass caused by pelvic inflammatory disease（PID），which is typically initiated by sexually transmitted agents （such as N. gonorrhoeae and C. trachomatis）. Young and sexually active female is prone to suffering from it. Adnexal inflammatory mass has a serious impact on women’s reproductive health，so prevention is much more important than therapy. The manifestations of pelvic inflammatory disease vary a lot and currently there are no sensitive and specific laboratory tests. The accuracy of vaginal ultrasound in the diagnosis of adnexal inflammatory mass is relatively high，so it is the common tool used in clinical practice.

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Application value of CA125，HE4，ROMA and RMI in the diagnosis of adnexal masses. WANG Ya-xian，CHEN Qiong-hua 2020, 36(12): 1163-1167.  DOI: 10.19538/j.fk2020120110 Abstract ( )   The etiology of adnexal masses is complex and varied，and the corresponding clinical treatments vary widely. Therefore, the primary task of clinical diagnosis is to evaluate the nature of adnexal masses，which is also the difficult and focal point. Cancer antigen 125（CA125）is the most common marker to distinguish benign and malignant adnexal masses，since there are many influence factors, it is not recommended to use CA125 alone in premenopausal women. Human epididymal protein 4（HE4）has better specificity and the combination with CA125 can significantly improve the accuracy of differentiating benign from malignant adnexal mass. Risk of Ovarian Malignancy Algorithm （ROMA）and Risk of Malignancy Index（RMI）are recommended to use in evaluating the patients with adnexal masses before surgery. High-risk patients should warrant referral to a gynecologic oncologist.