What is the recommended size for an adnexal mass to be considered for removal?

An adnexal mass in the context of women's health typically refers to abnormalities found in the ovaries or fallopian tubes. The management of these masses, including whether to consider surgical removal, often depends significantly on their size.

A mass that is 5-10 cm is generally considered to be within a range that raises concern about potential complications or pathology, such as malignancy or torsion. At this size, especially if the mass is solid or has complex features on imaging, the clinical recommendation often leans towards evaluation and potential removal. Furthermore, larger adnexal masses can lead to symptoms due to pressure effects on adjacent organs and may carry a higher risk for complications.

Adnexal masses smaller than 5 cm may often be monitored rather than surgically addressed, particularly if they appear benign on ultrasound. Conversely, masses that are greater than 10 cm, especially those over 15 cm, are typically managed with a more aggressive approach due to increased risks. While size alone does not dictate the need for surgical intervention—detailed imaging characteristics, patient symptoms, and changes over time are also critical considerations—5-10 cm is the threshold at which the risks begin to justify surgical intervention for both practical and clinical reasons.