Table 1. Population Characteristics.
Characteristics | No. (%) |
---|---|
Personal History (n = 1194) | |
Menopausal | 511 (42.8) |
History of pelvic surgery | 364 (30.5) |
History of adnexal surgery | 134 (11.2) |
History of infertility | 94 (7.9) |
History of breast or ovarian cancer | 126 (10.5) |
Known BRCA1/2 carriers | 13 (1.1) |
Clinical Presentation (n = 1194) | |
Pelvic pain | 384 (32.2) |
Vaginal bleeding | 60 (5.0) |
Palpable mass or increasing abdominal volume | 10 (0.8) |
Urinary symptoms | 8 (0.7) |
Amenorrhea | 6 (0.5) |
Constipation or diarrhea | 2 (0.2) |
Combination of previously mentioned symptoms | 53 (4.4) |
None of these symptoms | 671 (56.2) |
MRI Findings (n = 1194) | |
0 Lesions | 64 (5.4) |
1 Lesion | 802 (67.2) |
2 Lesions | 284 (23.8) |
3 Lesions | 44 (3.7) |
Management (n = 1130) | |
Primary surgery | 719 (63.6) |
Secondary surgery | |
After initial follow-up | 44 (3.9) |
After primary chemotherapy | 5 (0.4) |
24 mo of clinical and/or imaging follow-up | 362 (32) |
Imaging follow-up | 263 (23.3) |
Disappearance | 96 (8.4) |
Decrease of the mass | 15 (1.3) |
Stability | 152 (13.4) |
Clinical follow-up, ie, stabilitya | 99 (8.8) |
Origin of Pelvic Mass From Reference Standard | |
Masses, No. | 1502 |
Adnexal | |
Masses, No. | 1372 |
Malignant, No./total, No. (%) | |
Ovary | 253/1223 (20.7) |
Tubo-ovarian | 9/125 (7.2) |
Mesosalpinx | 0/24 |
Nonadnexal | |
Masses, No. | 130 |
Malignant, No./total, No. (%) | |
Uterus | 4/72 (5.5) |
Peritonealb | 3/41 (7.3) |
Colorectal | 5/5 (100) |
Lymph node | 2/2 (100) |
Other, eg, schwannoma, arterial aneurysm | 0/9 |
Urothelial | 1/1 (100) |
Abbreviation: MRI, magnetic resonance imaging.
The 99 women without imaging follow-up had 122 lesions with the following clinical diagnoses: 23 nonadnexal masses including 14 leiomyomas, 5 peritoneal cysts, 3 hematoma, and 1 Nabothian cyst; 26 serous cystadenomas; 24 functional cysts; 23 endometrioma; 9 cystadenofibroma; 5 ovarian fibroma; 5 hydrosalpinx; 4 mature cystic teratoma; 2 mucinous cystadenoma; and 1 paraovarian cyst.
This category excludes tubo-ovarian peritoneal carcinoma and includes other purely peritoneal diseases, such as pseudoperitoneal cysts.