SIMPLE OVARIAN CYSTS SEEN ON ULTRASOUND

For premenopausal patients, cysts < 30 mm do not need to be followed (or even reported), cysts 30 to 50 mm should be reported but not followed, cysts 50 to 70 mm should be followed up at one year, and cysts > 70 mm should be referred for surgical management.  For postmenopausal women, cysts < 10 mm do not need to be followed (or even reported), cysts between 10 and 70 mm should be followed up at one year, and cysts > 70 mm should be referred for surgical management.


Levine D et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologist sin Ultrasound Consensus Conference statement.  Radiology 2010; 256:943-954.

OVARIAN AND ADNEXAL LESIONS SEEN ON ULTRASOUND

​WHICH ARE NOT SIMPLE CYSTS

(920) 967-1000

333 N. Commercial Street, Suite 100
Neenah, WI  54956

Radiology Associates of the Fox Valley

Depends on age and imaging characteristics of the lesion; for illustrations and specific recommendations see Levine pp 949-951.


Levine D et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologist sin Ultrasound Consensus Conference statement.  Radiology 2010; 256:943-954.

See Patel et al. Figure 1; lesions are either ignored, followed up with US at 6-12 weeks or 6-12 months, or worked up immediately with US depending on imaging characteristics and patient age (pre, early post, or post-menopausal)


Patel MD et al.  Managing incidental findings on abdominal and pelvic CT and MRI part 1: white paper of the ACR incidental findings committee II on adnexal findings.  J Am Coll Radiol 2013; 10:675-681.

OVARIAN AND ADNEXAL LESIONS SEEN ON CT OR MR