Are adnexal masses and adnexal cysts the same thing?

Nov 12, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, adnexal masses and adnexal cysts are not the same condition. The differences between them lie in their composition, morphology, symptoms, complications, and potential for malignancy. Adnexal masses usually refer to solid masses with a firm texture, which may be malignant tumors; whereas adnexal cysts are typically cystic, filled primarily with fluid, and mostly benign.

Generally speaking, adnexal masses and adnexal cysts are not the same condition. The differences between them lie in their composition, morphology, symptoms, complications, and potential for malignant transformation. A detailed analysis is as follows:

1. Different Composition

An adnexal mass usually refers to a solid mass with firm texture, which may be a malignant tumor; whereas an adnexal cyst is typically cystic, filled mainly with fluid, and mostly benign. They represent two distinct conditions.

2. Different Morphology

Adnexal masses vary in shape and may be round, oval, or irregular; adnexal cysts, however, are usually round or oval with a smooth surface and a palpable cystic feel.

3. Different Symptoms

An adnexal mass may cause symptoms such as an abdominal lump or abdominal pain, while a cyst may lead to sensations of abdominal fullness or heaviness in the lower abdomen.

4. Different Complications

Complications of an adnexal mass may include torsion of the pedicle or rupture; adnexal cysts may additionally be complicated by infection, in addition to torsion and rupture.

5. Different Potential for Malignant Transformation

An adnexal mass has a relatively higher risk of becoming malignant, whereas an adnexal cyst carries a relatively lower risk.

  If a patient experiences any discomfort, it is recommended to seek timely medical evaluation at a hospital to avoid delays in diagnosis and treatment.