left adnexal cystic mass (symptoms)?

Answer 1

Most often it`s symptomless.If big it may present as a lump lower abdomen with dull pain.Very big adnexal mass causes abdominal pain and swelling.Rarely (if there is hemorrhage inside)it can be an acute abdominal case landing in casualty.

Answer 2

Most adnexal masses present as asymptomatic, small, and simple cystic masses. Nearly all of these resolve spontaneously; therefore, care must be taken to not overreact to such a finding. Surgeons who rush these women into surgery often create more pathology than they cure. Any surgery performed on adnexal structures can result in impaired fertility.

On the other hand, these same asymptomatic masses can be early ovarian cancers that require immediate attention. The use of radiologic testing often helps determine which women require attention.

The use of cancer antigen 125 (CA125) test values to screen for the presence of cancer should be discouraged. A large Swedish study has shown that approximately 50% of women with stage I ovarian cancer have a normal CA125 test value. In addition, a very high false-positive rate can be caused by pregnancy, endometriosis, cirrhosis, and pelvic or other intra-abdominal infections.

http://www.emedicine.com/med/topic2830.htm

Answer 3

It is probably an ovarian cyst, although a tubo-ovarian abscess cannot be ruled out or an ectopic pregnancy. Ovarian cysts are mostly benign and of several neoplastic types of they can be malignant. There is no reason to guess with the present method of inserting an endoscope and looking. Surgery can be done that way also or by laporotomy.