Ovarian Cysts – When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon Ashford & St. Peter’s Hospital
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Ovarian Cysts – When to ActVasileios Minas, PhD, MRCOG
Consultant Gynaecologist and Advanced Laparoscopic Surgeon
Ashford & St. Peter’s Hospital
Ovarian Cysts - something to worry about ?
Do nothing Re-scan Refer
SymptomsSize of cyst
Nature of cyst
Pre/Post-menopausal status
Tumor markers
Our Purpose
Do nothing Re-scan Refer
SymptomsSize of cyst
Nature of cyst
Pre/Post-menopausal status
Our Purpose
Tumor markers
Do nothing Re-scan Refer
SymptomsSize of cyst
Nature of cyst
Pre/Post-menopausal status
Our Purpose
Tumor markers
Do nothing Re-scan Refer
SymptomsSize of cyst
Nature of cyst
Pre/Post-menopausal status
Our Purpose
Tumor markers
Do nothing Re-scan Refer
SymptomsSize of cyst
Nature of cyst
Pre/Post-menopausal status
Our Purpose
Tumor markers
Pre-menopause
Physiological or Functional cysts
Follicles HaemorrhagicCorpus Luteum
Pre-menopause
Pathological Cysts
Cystadenoma Dermoid or TeratomaEndometrioma
Pre-menopause
Tumor Markers
AFPLDHHCG? CA125
Post-menopause
Post-menopause
Pathological Cysts
Cystadenoma Dermoid or TeratomaCystadenoCa
Pre-menopause
Tumor Markers
CA125
In Summary
Pre-menopausal ovarian cyst
Simple <5cm Simple >5cm Complex
Do nothing Re-scan
< 7cm > 7cm
Refer
Physiological Pathological
Do nothing / Re-scan
Refer
In Summary
Post-menopausal ovarian cyst
Simple <5cmnormal CA125
Simple >5cm Complex
Re-scan + CA1253/12 for 1 year
Refer Refer (TWR)
Thank you. Any Questions ?
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