Ovarian_Cysts_Flashcards
What is the typical management for asymptomatic small simple ovarian cysts (<50mm diameter) in pre-menopausal women?
Asymptomatic small simple ovarian cysts (<50mm diameter) in pre-menopausal women are likely to be physiological and resolve within 3 menstrual cycles. They do not require follow-up.
What follow-up is required for simple ovarian cysts of 50-70mm diameter in pre-menopausal women?
Simple ovarian cysts of 50-70mm diameter in pre-menopausal women require yearly ultrasound follow-up.
What is the management for simple ovarian cysts >70mm diameter?
Simple ovarian cysts >70mm diameter require further imaging (e.g., MRI) or surgical intervention (e.g., laparoscopic removal).
When might a laparotomy be indicated for an ovarian cyst?
A laparotomy might be indicated for a large ovarian cyst with solid components (e.g., dermoid cyst).
What is the management for acutely unwell patients with ovarian cysts?
Acutely unwell patients with ovarian cysts require urgent surgical exploration (laparoscopy or laparotomy) to manage possible ovarian torsion, cyst rupture, or hemorrhage, along with resuscitation and broad-spectrum antibiotics.
How are solid or complex ovarian cysts in post-menopausal women regarded?
Solid or complex ovarian cysts in post-menopausal women are regarded as suspicious for malignancy.
What is the risk of malignancy index (RMI) and how is it determined for ovarian cysts in post-menopausal women?
The risk of malignancy index (RMI) for ovarian cysts in post-menopausal women is determined by ultrasound features of the cyst, menopausal status, and CA125 levels.
What is the required management for suspicious ovarian cysts in post-menopausal women?
Suspicious ovarian cysts in post-menopausal women require gynaecological oncology evaluation and possible laparotomy.
