Ovarian Cysts Post Meno

Question 1

Which cysts are not worrying?

Answer 1

Asymptomatic, simple, unilocular, unilateral <5cm.

RCOG say if RMI <200 these can be monitored with TVS/ca125 d/c after year

Question 2

How to calculate RMI? (1)

Answer 2

U x M x ca125

U-look at mutilocular, solid, metastases, bilateral, ascites. If 1 only score 1. If more than one score 3.

M-Post meno scores 3

Question 3

If RMI >200 what to do?

Answer 3

CT/MRI
MDT
Surgery (laparotomy)

Question 4

If RMI <200 but symptomatic/>5cm/non simple/bilateral/multilocular how do you manage?

Answer 4

Consider BSO

Question 5

What is only blood test to aid diagnosis?

Answer 5

Ca125