Abstract

The majority of adnexal masses are benign in nature. In the rare circumstance that an ovarian mass appears malignant, a thorough evaluation with laboratory and imaging studies should be performed to elucidate the likelihood of malignancy. This will help to determine the need for more comprehensive surgical intervention or involvement of a gynecologic oncologist. However, in the operative suite when adnexal mass appears concerning for malignancy, attempts should be made to prevent rupture and to determine pathology early. When there is a high suspicion for malignancy, it is recommended to have intraoperative or early postoperative consultation with a gynecologic oncologist.

Keywords: Ovarian mass; Ovarian cyst; Intraoperative; Management; Suspicious malignancy