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26 Possible Causes for Adnexal Mass, Beta-HCG Increased

  • Ectopic Pregnancy

    Abstract A positive urine pregnancy test (UPT) with adnexal mass in ectopic pregnancy is not the ultimate diagnosis.[] In a normal pregnancy, the beta-hCG level doubles every 48 hours until it reaches 10,000-20,000 mIU/mL. With ectopic pregnancies, beta-hCG levels usually increase less.[] The transvaginal ultrasound test, minimal increases in serum beta-human chorionic gonadotropin (β-hCG) dynamics and blood counts are investigations of choice in achieving[]

  • Tubal Pregnancy

    mass.[] CASE: An asymptomatic gravida 1 female presented with increasing beta-HCG levels without an intrauterine gestation.[] Higher beta-hCG levels, especially 3,000 mIU/ml is associated with increased risk of fallopian tubal rupture in ectopic pregnancy.[]

  • Metastatic Ovarian Carcinoma

    A pelvic computed tomography scan revealed a 7-cm complex, right adnexal mass.[] About 6–7% of all adnexal masses found during physical examination are actually metastatic ovarian tumors, frequently unsuspected by gynecologists. 2 – 4 The metastasis often[]

  • Adenocarcinoma of the Ovary

    About 6–7% of all adnexal masses found during physical examination are actually metastatic ovarian tumors, frequently unsuspected by gynecologists. 2 – 4 The metastasis often[]

  • Choriocarcinoma

    Abstract A 22 year-old G1P1 woman presented to the emergency room with clinical impression of "ruptured right adnexal mass" and underwent a right salpingo-oophorectomy to[] beta-hCG in the serum Passage of grape-like cysts per vagina (Hydatidiform mole preceding choriocarcinoma) Pelvic pressure pains due to rapidly enlarging conceptus Disproportionate[] Endovaginal sonogram shows approximately 4.0 3.3 cm round heterogeneous right adnexal mass within posterior cul-de-sac.[]

  • Hydatidiform Mole

    Ultrasonography showed an enlarged uterus including hypo/hyperechogenous cystic areas in the endometrial cavity and bilateral adnexal masses. β-HCG level was investigated[] Other medical complications included those related to increased beta-hCG titers such as preeclampsia, hyperthyroidism and pulmonary insufficiency.[] Imaging studies revealed a normal intrauterine fetus and an 11-cm heterogenous mass in the left adnexal region.[]

  • Bleeding from an Ectopic Pregnancy

    Physical examination findings in ectopic pregnancy (5): Abdominal tenderness (80-90%) Adnexal tenderness (75-90%) Adnexal mass (50%) Uterine enlargement (25%) Orthostasis[] Source hCG Calculator Do you want to know how quickly your hCG levels are increasing? Try this hCG calculator.[] Unfortunately, this 'adnexal mass' is an unreliable sign: doctors may miss them and sometimes feel them on the opposite side to the ectopic pregnancy![]

  • Granulosa Cell Tumor

    […] virilizing, cystic adnexal mass to facilitate appropriate counseling and management.[] The laboratory findings demonstrated normal testosterone levels, beta-HCG and inhibin-B levels as well as an increased alpha-fetoprotein level of 35.350 ng/dl.[] Complete and clean removal of an unknown adnexal mass is imperative.[]

  • Ruptured Ectopic Pregnancy

    Physicians should consider this possibility if a woman has any of these histories and a combination of abdominal pain, adnexal mass with pain and tenderness, peritoneal irritation[] If beta-hCG levels do not increase as expected or if they decrease, the diagnoses of spontaneous abortion and ectopic pregnancy are reconsidered.[] Ultrasonography demonstrated free fluid in the peritoneum, an empty uterus, and a right adnexal mass containing a gestational sac and live embryo.[]

  • Cornual Pregnancy

    Her beta-human chorionic gonadotropin level was 6,398 mIU/mL, and transvaginal ultrasound failed to reveal an intrauterine gestation, adnexal mass or cul-de-sac fluid.[] The serum beta-hCG level was 2,260 and increased to 3,060 IU/l on the 5th day after treatment before it fell precipitously to below 250 IU/l 15 days after methotrexate treatment[] Ultrasound suggested right adnexal mass suggestive of ectopic gestation with right ovarian cyst.[]

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