SASGOG's Pearls of Exxcellence

SASGOG's Pearls of Exxcellence is a collection of documents that help Residents and Practicing ObGyn's stay up to date on common conditions and their management. The Editorial Board continuously reviews, reaffirms and/or revises the library of articles to maintain relevant and up to date content.


SASGOG Pearls of Excellence

Notice Regarding Use

** SASGOG is committed to accuracy and will review and validate all Pearls on an ongoing basis to reflect current practice.

These documents are designed to aid practitioners in providing appropriate obstetric and gynecologic care. Recommendations are derived from major society guidelines and high quality evidence when available, supplemented by the opinion of the author and editorial board when necessary. It should not be construed as dictating an exclusive course of treatment or procedure to be followed.

Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. SASGOG reviews the articles regularly; however, these publications may not reflect the most recent evidence. While we make every effort to present accurate and reliable information, the publications are provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. SASGOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither SASGOG nor their respective officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented.


Pearls of Exxcellence articles
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Evaluation and Management of an Ovarian Mass in a Patient with a Family History of Ovarian Cancer

Increasing age is the most important risk factor for ovarian cancer in the general population, but a strong family history of breast or ovarian cancer is the most important personal...

Updated: 9/7/2021
Published: 9/1/2018
Category: Gynecology
Author: Christina Wallace Huff, M.D.


The Management of Borderline Ovarian Tumors

Borderline ovarian tumors, previously known as low-malignant potential (LMP) tumors, make up nearly 20% of ovarian epithelial cancers and have an excellent prognosis regardless of stage at diagnosis. Borderline ovarian...

Updated: 7/31/2022
Published: 11/1/2017
Category: Gynecology
Author: Erica L. Berry D.O., FACOG


Evaluation of the Adnexal Mass in an Older Patient

The evaluation and management of an adnexal mass in an older patient is an important clinical challenge. Adnexal masses arise in gynecologic and non-gynecologic sites. Primary ovarian lesions include functional...

Updated: 11/18/2019
Published: 10/1/2015
Category: Office Practice
Author: Todd R. Griffin, MD


Management of Adnexal Masses in Pregnancy

The overall prevalence of adnexal pathology in pregnancy is 1-6%, depending on the gestational age at presentation. The most common pathologic diagnoses include mature cystic teratomas, paraovarian cysts and corpus...

Updated: 7/6/2021
Published: 9/2/2015
Category: Obstetrics
Author: Patricia S. Huguelet, MD


Management of Ureteral Injuries

Ureteral injuries are relatively uncommon, and may be more common with gynecologic than other types of abdominopelvic surgery. The incidence of ureteral injury ranges from < 0.1% to over 1%...

Updated: 1/1/2020
Published: 6/1/2012
Category: Gynecology
Author: Larry J. Copeland, MD

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Management of Adnexal Cysts

Adnexal cysts may be identified based on gynecologic symptoms or may be incidentally noted during pelvic exam or imaging for other reasons. Further actions depend on imaging characteristics and symptoms....

Updated: 9/6/2022
Published: 9/1/2010
Category: Office Practice
Author: Vivian E. von Gruenigen, MD


Adnexal Masses in Adolescents

The prevalence of adnexal masses in adolescents is unknown. Of those adnexal masses requiring surgical intervention in specialty care centers, 7-25% are malignant in pediatric and adolescent ages combined,...

Updated: 3/1/2022
Published: 5/1/2009
Category: Gynecology
Author: Robert S. Schenken, MD