Adnexal Torsion in Postmenopausal Patients with High Suspicion of Ovarian Malignancy
Adnexal torsion occurring in a postmenopausal woman warrants heightened clinical vigilance. In this population, the possibility of underlying ovarian malignancy significantly shapes the surgical decision.
Clinical scenario: Adnexal torsion in a patient with postmenopausal status and high suspicion of ovarian malignancy. Published data indicate that malignancy rates in this setting — confirmed on frozen section histology — are substantial, underscoring the need for careful intraoperative assessment.
Surgical approach
Management in this context typically involves surgical intervention that may go beyond simple adnexal removal.
References
OT in postmenopausal patients should be accompanied by a high index of suspicion for malignancy, the rate of which is reported between 9% and 22%, based on frozen section histology.
At a minimum, salpingo-oophorectomy is the appropriate surgical management, however, more substantial staging surgery or hysterectomy may be advised.
DOI: 10.1111/tog.12985
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