Adnexal tumors are growths that form on the organs and connective tissues around the uterus in women. Adnexal tumors are most often noncancerous (benign), but they can be cancerous (malignant).Adnexal tumors occur in the Ovaries, Fallopian tubes, Connective tissue around the ovaries or fallopian tubes. Diagnosis of adnexal tumors involves a careful physical exam, imaging tests and, sometimes, surgery. Treatment for adnexal tumors depends on the specific location and types of cells involved.
The pathophysiology is not well understood for most adnexal masses; however, some theories have been proposed. Functional cysts may be the result of variation in normal follicle formation. Mature cystic teratoma may be the result of abnormal germ cell proliferation. Endometriomas are thought to result from retrograde menstruation or coelomic metaplasia. The exact cause of epithelial neoplasms is unknown, but recent studies have suggested a complex series of molecular genetic changes is involved.
83% of the population (84% of men and 81% of women) perceived their general state of health as good or very good. The self-assessment of health is considered to be a valid indicator of general health, both at individual and population level. The percentage of people who consider their health to be (very) good steadily drops with age. This proportion is also lower among people whose level of education does not exceed compulsory schooling than among people with tertiary level education (62% compared to 90%). One third of the population state that they suffered from long-term health problems (30% of men and 34% of women). The proportion of people who assessed themselves as having a chronic health problem increases with age and is highest among those with obligatory schooling (39% compared to 30% of people with tertiary level education).