Ovarian enlargement management Flashcards
What is the initial imaging modality for suspected ovarian cysts/tumours?
The initial imaging modality for suspected ovarian cysts/tumours is ultrasound.
How are simple ovarian cysts characterized on ultrasound?
Simple ovarian cysts are characterized as unilocular and are more likely to be physiological or benign.
How are complex ovarian cysts characterized on ultrasound?
Complex ovarian cysts are characterized as multilocular and are more likely to be malignant.
What does the management of ovarian enlargement depend on?
The management of ovarian enlargement depends on the age of the patient and whether the patient is symptomatic.
Why is the diagnosis of ovarian cancer often delayed?
The diagnosis of ovarian cancer is often delayed due to a vague presentation.
What approach may be taken for premenopausal women with ovarian cysts?
A conservative approach may be taken for premenopausal women, especially if they are younger (< 35 years), as malignancy is less common.
What is the management for younger women (< 35 years) with small simple ovarian cysts?
If the cyst is small (< 5 cm) and reported as ‘simple’, it is highly likely to be benign. A repeat ultrasound should be arranged for 8-12 weeks, and referral considered if it persists.
What is the follow-up for small simple ovarian cysts in premenopausal women?
A repeat ultrasound should be arranged for 8-12 weeks for small simple ovarian cysts in premenopausal women, with referral considered if the cyst persists.
Why are physiological cysts unlikely in postmenopausal women?
Physiological cysts are unlikely in postmenopausal women by definition.
What is the management for postmenopausal women with ovarian cysts?
Any postmenopausal woman with an ovarian cyst, regardless of nature or size, should be referred to gynaecology for assessment.
