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. 2020 Jan 24;3(1):e1919896. doi: 10.1001/jamanetworkopen.2019.19896

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.

a

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.

b

This category excludes tubo-ovarian peritoneal carcinoma and includes other purely peritoneal diseases, such as pseudoperitoneal cysts.