OVARIAN TUMORS
Follicular cyst
Benign
NEOPLASTIC Borderline
Malignant
Endometrioma
OTHERS Enlarged PCO
Parovarian cyst
EXAMINATION
AGE!
Laterality
Cystic Vs solid
PHYSICAL
1. Functional
cyst
Functional cyst
Functional cyst Functional cyst
Epithelial
ovarian tumor
Neoplastic
ovarian tumor
<5 cms
USG 5 cms
+ asymp
Likely physiologic
Simple or complex?
No follow up needed.
Cystic Complex,
& 5-7cm solid,
Annual suspicious
observation
Persistence/
progression Surgery
RCOG 2011
OVARIAN MASS IN CHILDHOOD:
Laparotomy Laparoscopy
It is recommended that a risk of malignancy index should be used to select women for
laparoscopic surgery, to be undertaken by a suitably qualified surgeon.
1 in 73
women will develop ovarian cancer in her lifetime
TYPES OF OVARIAN TUMORS
Benignant
Borderline
Malignant
The dual marker algorithm utilizing HE4 and CA125 to calculate a ROMA value
In patients with stage I and II disease, ROMA achieved a sensitivity of 85.3% compared
with 64.7% for RMI
OVA 1: