RT Book, Section
A1 Salani, Ritu
A1 Nagel, Christa
A2 Karlan, Beth Y.
A2 Bristow, Robert E.
A2 Li, Andrew J.
SR Print(0)
ID 1106570746
T1 Management of the Adnexal Mass
T2 Gynecologic Oncology: Clinical Practice and Surgical Atlas
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749268
LK hemonc.mhmedical.com/content.aspx?aid=1106570746
RD 2024/04/19
AB Uterine  adnexae  are  defined  as  the  areas  adjacent  to  the  uterus  that  are  occupied  by  the  fallopian  tubes  and  ovaries.  The  embryologic  origin  of  the  fallopian  tubes  and  ovaries  are  2  distinct  events  in  the  development  of  a  female  embryo.  Development  of  the  ovaries  begins  before  the  development  of  the  remainder  of  the  genital  tract.  The  origin  of  the  male  and  female  gonads  are  similar  up  until  the  seventh  week  of  gestation,  at  which  time  the  primitive  sex  cords  begin  to  break  up  in  the  female  embryo.  The  developing  ovary  eventually  has  3  layers:  the  surface  epithelium,  primitive  germ  cells,  and  sex  cord  epithelium.  These  layers  give  rise  to  the  3  main  types  of  ovarian  tumors:  (1)  epithelial  tumors,  which  comprise  approximately  70%  of  all  ovarian  neoplasms;  (2)  germ  cell  tumors,  which  comprise  15%  to  20%  of  ovarian  tumors;  and  (3)  sex  cord–stromal  tumors,  which  account  for  5%  to  10%  of  ovarian  tumors.  The  remainder  of  the  masses  are  a  result  of  metastatic  or  secondary  involvement  to  the  ovary.1