Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas,...

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 ?