What does a left adnexal cystic mass mean?

Left adnexal cystic mass is a disease with a relatively high incidence rate, but people will not feel obvious symptoms at the beginning of the disease. They just feel vague pain in their abdomen, especially when touching it with their hands, the pain will become more severe. Therefore, do not delay treatment after the onset of the disease, and go to the hospital as soon as possible to take appropriate medication or surgical treatment.

1. Tubal pregnancy (ectopic pregnancy): The mass is located on one side of the lower abdomen and is obviously tender. Patients often have a history of amenorrhea and minimal vaginal bleeding.

2. Inflammatory mass: The mass is located on both sides of the lower abdomen and is obviously tender. Patients with acute inflammation have fever and lower abdominal pain. Patients with chronic inflammation have fever and lower abdominal pain. Patients with chronic inflammation may be infertile and have a history of dull pain in the lower abdomen.

3. Adnexal mass - benign ovarian tumor: The mass is located on one side of the lower abdomen, has no obvious tenderness, is movable, and gradually grows larger.

4. Adnexal mass - ovarian malignant tumor: The mass is located on both sides of the lower abdomen, without obvious tenderness, inactive, grows rapidly, and has ascites.

5. Adnexal mass and ovarian endometriosis cyst: the endometrium grows on the ovaries and bleeds with the normal menstrual cycle and physiological period, but this bleeding cannot be discharged and gradually accumulates in the body to form a cyst.

Adnexal masses are caused by endocrine disorders, fallopian tube inflammation and endometriosis. The types of adnexal masses include: fallopian tube pregnancy, inflammatory mass, adnexal mass-benign ovarian tumor, adnexal mass-malignant ovarian tumor, and adnexal mass-ovarian endometriosis cyst.

A. Caused by endocrine disorders: caused by insufficient secretion of luteinizing hormone.

B. Fallopian tube inflammation affects the ovaries: Fallopian tube inflammation often affects the ovaries, forming inflammatory effusions and pus, and then forming ovarian cysts.

C. Caused by endometriosis: Endometriosis can also affect the ovaries, forming cysts containing chocolate-like viscous fluid.

Cysts can be physiological or pathological. They need to be examined to determine their nature and then treated symptomatically. If they are physiological, they will gradually disappear. Pathological cases can be treated with laparoscopic surgery, which has little impact on fertility and quick recovery.

High risk factors for ovarian cancer: age, women with a family history of breast cancer and ovarian cancer, and women carrying the BRCA1 and BRCA2 genes have a 60-fold and 30-fold risk of developing ovarian cancer before the age of 60 compared to the general population. Nulliparity, primary infertility, and endometriosis can all increase the risk of ovarian cancer. Aside from prophylactic oophorectomy, combined oral contraceptive use is the only means shown to reduce the risk of epithelial ovarian cancer. This protection lasts for the duration of use. This protection is reduced in women with a BRCA1 or BRCA2 mutation.