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ovarian mass
Patients with an ovarian mass that has a high probability of malignancy should undergo surgical exploration and oophorectomy for definite diagnosis of ovarian cancer. Ultrasound features suggestive of malignancy include irregularly thickened septa, indistinct borders, and solid components. Because of the highly malignant nature of ovarian cancer cells, any disruption to the tumor capsule (e.g., during fine-needle aspiration biopsy) may result in malignant cell dissemination into the peritoneum, which significantly worsens the prognosis. En bloc resection of the mass with the respective ovary ensures tumor capsule integrity, which lowers the risk of malignant spillage. Patients with a confirmed diagnosis of ovarian cancer require further evaluation for cancer staging and treatment.
ovarian cancer
A hypoechoic adnexal mass with irregularly thickened septa on transvaginal ultrasonography (TVUS) in a postmenopausal woman with a 3-month history of fatigue and elevated serum CA-125 levels raises concern for ovarian cancer.
