Approaching the adnexal mass in the new millennium

Adnexal masses are common dilemmas faced by practicing gynecologists. They affect women from before birth throughout life, yet considerable disagreeme nt exists regarding their optimal management. Traditional management focuse d on avoiding undertreatment of a potentially malignant process. Advances i n detection, diagnosis, and minimally invasive management make it necessary to review this practice to avoid unnecessary morbidity and mortality. The literature emphasizes a minimally invasive approach to the treatment of ben ign lesions without sacrificing the principles of oncologic surgery.