Warning
Corpus luteum
  • Normal finding - no follow up required
Dermoid cyst 
  • Refer to gynaecology with CA125
Complex cyst <5 cm
  • Follow up with TV scan US in 12 weeks to demonstrate resolution
  • Refer if an increase in size
  • If no change or decrease, discharge
  • Note: see below re post-menopausal
Complex Cyst > 5 cm
  • Gynaecology referral and CA125
Indeterminate cyst/mass after TVUS
  • Gynaecology referral with CA125 (gynaecology team will decide if MRI appropriate)
Cyst with frankly malignant features or solid mass any size
  • Gynae referral, CA125 and staging CT (chest, abdominal, pelvis)
  • Note: If <25 yrs further tumour markers and MRI prior to CT may be arranged at the discretion of gynaecology
Post menopausal any sized complex cyst
  • Gynaecology referral, CA125 and staging CT (chest, abdominal, pelvis) but if age <40 yrs, further tumour markers and MRI - additional CT at discretion of gynaecology MDT

 

Editorial Information

Next review date: 19/09/2023

Author(s): Heather Currie.