This protocol addresses a perimenopausal patient presenting with a symptomatic ovarian mass that has been characterized as benign on ultrasound. The patient's perimenopausal status is a central factor in how management decisions are structured and discussed.
Surgical management is determined through a structured shared decision-making process between the patient and her clinician, grounded in the overall clinical picture and the patient's individual preferences and values.
The specific surgical options, their trade-offs, and the full decision algorithm are available in the complete protocol.
DOI: 10.1016/j.jogc.2020.01.014
For perimenopausal women, the decision to perform a cystectomy with a possible salpingectomy versus an oophorectomy should be part of a shared decision-making discussion between the patient and her health care provider (strong, low).
Health care providers should discuss the benefits of ovarian preservation versus oophorectomy with perimenopausal women, and the decision should be based on the overall clinical picture and patient wishes.
The goals of surgery for a symptomatic patient with a presumed benign ovarian mass should be to: (i) completely remove the mass, (ii) reduce the risk of recurrence, and (iii) preserve healthy ovarian tissue.
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