Pre Menopausal Simple Ovarian Cysts

 

A simple cyst is a round or oval anechoic space with smooth thin walls, posterior acoustic enhancement, no solid component or septation and no internal flow at colour Doppler ultrasound.

Transabdominal and transvaginal scans are recommended.

 

 The following cysts should also be treated as simple and the same size thresholds used:

• para ovarian cysts where the ovary can be seen separately
• cysts containing daughter cysts
• cysts with one thin septation (<3mm) or small calcification in wall.

Always refer to previous imaging if available - CT/MRI/US.

The report should make explicit who is to arrange follow up.

 

Refer to General Gynae Clinic if cyst symptomatic

 

If there is any increasing complexity or pointers to malignancy at ultrasound, 2ww gynaecological referral is recommended.

 

References:

ROCG Management of Suspected Ovarian Masses in Premenopausal Women. Green top Guideline No.62.

Levine D et al. Management of Asymptomatic Ovarian and other Adnexal Cysts Imaged at US: Society of Radiologist in Ultrasound Consensus Conference Statement. Radiology 2010;256:943-954

 

 

Author: Dr S Burns

              Dr M Schick

Contributors: Lisa Verity Consultant Gynaecologist RCHT

Date:      August 2024                                Review Date: August 2026

Version:1.2