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New evidence report on the management of adnexal mass is available

AHRQ has released an evidence report on the management of adnexal masses—enlargements in the area of the ovaries and fallopian tubes that are sometimes a sign of ovarian cancer. The report concludes that it is not possible to estimate how well different diagnostic strategies will work. In particular, the common bimanual pelvic exam does not succeed very well in detecting adnexal masses or distinguishing benign from malignant masses. These results raise doubts about how valuable the bimanual pelvic exam is in routine screening.

The report, Management of Adnexal Mass (AHRQ Publication No. 06-E004), was requested and funded by the Centers for Disease Control and Prevention, Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control. AHRQ's Duke University Evidence-based Practice Center conducted the systematic literature review and prepared the report. Visit http://www.ahrq.gov/clinic/tp/adnextp.htm to read or download a copy of the report. A printed copy can also be obtained through the AHRQ Publications Clearinghouse.

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