What does a 68mm x 63mm right adnexal mass mean?

Hello,

A 68 mm × 63 mm mass in the right adnexal (ovarian) region means there is a growth measuring approximately 6.8 × 6.3 cm near the right ovary or fallopian tube. An adnexal mass can be benign (non-cancerous) or malignant (cancerous), so it is important to consult a Gynaecologist or Gynaecologic Oncologist for further evaluation. The treatment depends on the size, appearance of the mass, your age, symptoms, and investigation results.

What Could Be the Cause?

An adnexal mass occur due to :

• Ovarian cyst (simple or complex)

• Benign ovarian tumour

• Endometrioma (chocolate cyst)

• Dermoid cyst (mature cystic teratoma)

• Ovarian cancer (less common but requires evaluation)

• Fallopian tube mass or infection

Further tests are needed to determine the exact cause.

What Tests Are Usually Recommended?

Your doctor advise :

• Transvaginal or pelvic ultrasound to evaluate the mass.

• MRI or CT scan, if more detailed imaging is required.

• CA-125 blood test and other tumour markers, especially if cancer is suspected.

• Complete blood tests and pre-operative evaluation if surgery is likely.

When Is Surgery Recommended?

A mass measuring 68 × 63 mm is relatively large. Surgery be recommended if :

• The cyst or mass is larger than 5–6 cm.

• It is causing pain, bloating, or pressure symptoms.

• It appears complex or suspicious on imaging.

• It continues to increase in size.

• There is concern about ovarian torsion (twisting of the ovary).

• Cancer cannot be ruled out.

The final decision is made by the treating gynaecologist after reviewing all reports.

Surgical Treatment Options

Depending on the diagnosis, the doctor recommend one of the following procedures :

1. Laparoscopic Ovarian Cystectomy

• A minimally invasive (keyhole) surgery performed through small incisions.

• Only the cyst is removed while preserving the healthy ovary whenever possible.

• Commonly recommended for benign ovarian cysts.

• Recovery is usually faster with less post-operative pain.
  
  

2. Laparoscopic Oophorectomy

• Removal of the affected ovary if the ovary cannot be preserved or if the mass is extensive.

• The opposite ovary is usually left intact if it is healthy.
  
  

3. Salpingo-Oophorectomy

• Removal of the affected ovary along with the fallopian tube.

• Recommended in selected cases depending on the nature of the mass, the patient's age, and future fertility plans.
  
  
  

4. Open Surgery (Laparotomy)

• This be recommended if the mass is very large or if there is a suspicion of cancer.

• Allows the surgeon to safely remove the mass and evaluate the surrounding organs.

5. Cancer Surgery (If Cancer Is Confirmed or Strongly Suspected)

If investigations suggest ovarian cancer, a Gynaecologic Oncologist recommend comprehensive staging or cytoreductive (debulking) surgery, depending on the stage of the disease.

Can It Be Treated Without Surgery?

Not all ovarian masses require surgery. If the mass appears to be a simple functional cyst, your doctor advise :

• Observation with repeat ultrasound after a few weeks.

• Pain-relieving medicines, if needed.

• Regular follow-up to monitor changes in size.

However, a 68 mm × 63 mm adnexal mass often requires specialist evaluation to determine whether surgery is the safest option.

How HexaHealth Can Help

We can help you :

• Connect with experienced Gynaecologists or Gynaecologic Oncologists.

• Arrange a priority consultation at trusted partner hospitals.

• Guide you regarding investigations, surgery, estimated treatment costs, and insurance support.

• Assist you throughout your treatment and recovery.

Please Share These Details

To guide you better, kindly share :

• Patient's age

• City and State

Once you share your City and State, we can help you connect with the most suitable HexaHealth partner hospital and specialist near you and guide you with the next steps.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth