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Ovarian cysts – Information for GPs

Definition

  • Ultrasound scan is initial investigation of choice – transabdominal and possibly transvaginal
  • Radiology will give guidance on further management but assess the patient clinically and continue to investigate if concerned
  • Radiology department at YHFT has a complicated algorithm (depending on size and features of cyst) and will offer guidance about management. If a referral to Gynaecology is recommended, then a CA125 should be considered

Red flag symptoms

  • Abdominal/vaginal mass, thought to be ovarian, will need urgent USS and CA125 or 2WW referral
  • Raised CA125

Management

Will be guided by radiology report of USS or CT/MRI

Indications for referral

  • As guided by scan report
  • Consider admission for a woman presenting with any ovarian torsion symptoms with a known ovarian cyst via Gynae registrar on-call

Examination Findings

  • Abdominal and vaginal examination – good clinical practice

Investigations prior to referral

USS and CA125

Information to include in referral letter

  • Symptoms and timescale
  • Current contraception / hormone therapy
  • Abdominal/vaginal findings
  • Smear history
  • USS result
  • CA125
  • Relevant past medical / surgical history
  • Current regular medication
  • BMI
  • Smoking status

Patient information

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