What does a cystic mass in the right adnexal area mean?

A cystic mass in the right adnexal area is a finding that many women experience after examination and is also an obvious symptom of ovarian cysts. The incidence of ovarian cysts in today's female population has been increasing. If timely measures are not taken to cure it, the female reproductive system will be greatly damaged. Next, I will introduce you to some relevant knowledge about ovarian cysts!

1. Clinical manifestations

The most significant feature of an abdominal mass that is smaller than medium in size, if without complications or malignant transformation, is its mobility, which can often move from the pelvic cavity to the abdominal cavity. In malignant or inflammatory conditions, the tumor is restricted in movement, tenderness is present, and even symptoms of peritoneal irritation and ascites may occur.

2. Diagnosis

The diagnosis of ovarian cysts often varies in difficulty depending on the size and characteristics of the tumor. When taking a detailed medical history, attention should be paid not only to the reproductive organs, but also to the general condition and the relevant medical history of other important organs. Combining clinical manifestations with physical examinations, in addition to paying attention to the characteristics of the tumor itself, the general condition should also be understood. Therefore, not only gynecological examinations, but also general examinations, especially abdominal examinations, are extremely important. If necessary, other auxiliary diagnostic methods should be used, and a correct diagnosis can only be obtained after a comprehensive analysis of the medical history.

Patients with ovarian cysts may have a history of abdominal masses. Through abdominal palpation and bimanual examination, the boundaries and mobility of the uterus and the mass can usually be determined.

Treatment

Surgical treatment: The treatment of ovarian cysts depends on factors such as the patient's age, whether it is malignant, the location, volume, size, growth rate of the cyst, whether the reproductive function is preserved, and the patient's subjective wishes.

1. Surgical treatment of benign ovarian cysts

(1) Ovarian cystectomy. This procedure is often used in young patients, especially premenopausal patients, while preserving normal ovarian tissue as much as possible.

(2) Salpingo-oophorectomy: Older patients (over 45 years old) or postmenopausal patients can undergo unilateral or bilateral salpingo-oophorectomy.

2. Surgical treatment of malignant ovarian cysts

(1) Most patients are already in the advanced stage when they seek medical treatment, so every effort should be made to remove the primary cyst and any visible pelvic and abdominal metastases.

(2) Consider placing a catheter in the abdominal cavity to facilitate the postoperative intraperitoneal injection of chemotherapy drugs.