Classifying Adnexal Findings on Ultrasound: Risk Stratification in Daily Practice

Abnormal adnexal findings are among the most common scenarios encountered in gynecological clinics, and the task at hand is rarely simply making a diagnosis. Rather, it involves determining the appropriate course of action: Can the patient continue to be managed on an outpatient basis, does she need a follow-up evaluation, or should she be referred to a specialized center? Structured tools exist specifically for this decision: standardized terminology [2], simple ultrasound-based rules [3], and a model that estimates the probability of malignancy [6].