最后审阅: 6 七月 2021
最后更新: 10 三月 2021

小结

定义

病史和体格检查

其他诊断因素

  • 盆腔疼痛
  • 胀气和早饱感
  • 可触及的附件肿块

危险因素

  • 绝经前年龄组
  • 月经初潮过早
  • 妊娠早期
  • 有不孕或多囊卵巢综合征的个人病史
  • 内源性或外源性促性腺激素增加
  • 他莫昔芬治疗
  • 吸烟
  • 子宫内膜异位症个人或家族史

诊断性检查

首要检查

  • 经阴道超声检查

需考虑的检查

  • 血清癌抗原(Cancer Antigen, CA)-125
  • 腹部/盆腔彩色能量多普勒超声
  • 腹部/盆腔 MRI
  • 腹部/骨盆 CT 影像学检查
  • 核型分析
  • 腹腔镜检查/剖腹手术和组织病理学检查

新兴检查

  • 腹部/骨盆 PET 影像学检查
  • 血清生化标志物(卵巢附件肿块评估评分检测系统

治疗流程

撰稿人

作者

Sareena Singh, MD

Assistant Professor

Department of Obstetrics and Gynecology

Northeast Ohio Medical University

Rootstown

OH

Director of Gynecologic Oncology

Aultman Health Foundation

Canton

OH

利益声明

SS declares that she has no competing interests.

鸣谢

Dr Sareena Singh would like to gratefully acknowledge Dr Michael P. Hopkins, Dr Christina N. Kufel, Dr Lauren M. Blue, Dr Jay R. Patibandla, and Dr Laura K. Randolph, previous contributors to this topic.

利益声明

MPH, CNK, LMB, JRP, and LKR declare that they have no competing interests.

同行评议者

John Bachman, MD

Consultant in Family Medicine

Parker D Sanders and Isabella Sanders Professor of Primary Care

Rochester

MN

利益声明

JB declares that he has no competing interests.

David Chelmow, MD

Chair

Department of Obstetrics and Gynecology

Virginia Commonwealth University

Richmond

VA

利益声明

DC declares that he has no competing interests.

T. Justin Clark, MD (Hons), MRCOG

Consultant Obstetrician and Gynaecologist

Birmingham Women's Hospital

Obstetrics and Gynaecology

Birmingham

UK

利益声明

TJC declares that he has no competing interests.

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