On US: SRU Criteria: Difference between revisions

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(Created page with "{| class="wikitable" |- ! Reproductive Age !! Cyst Morphology !! Postmenopausal |- | Ex|| Example || Example |- | Example || Example || Example |- | Example || Example || Exam...")
 
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! Reproductive Age !! Cyst Morphology !! Postmenopausal
! Reproductive Age !! Cyst Morphology !! Postmenopausal
|-
|-
| Ex|| Example || Example
|  
* <3cm, Optional to mention. No follow up.
* 3-5cm, Mention in report. No follow up
* 5-6cm, Yearly followup
* >7cm, Surgical referral
|| '''Simple Cysts''' ||
* 1-7cm, yearly followup
* >7cm, surgical referral
|-
|-
| Example || Example || Example
|
* <5cm, No follow up
* >5cm 6-12 week follow up to ensure resolution
|| '''Hemorrhagic Cysts''' ||
* Early post-menopausal, 6-12 week follow up to ensure resolution
* Late post-menopausal, consider surgical referral
|-
|-
| Example || Example || Example
|
* Initial follow up at 6-12 weeks
* Yearly follow up unless removed
|| '''Endometrioma''' ||
* Initial follow up at 6-12 weeks
* Yearly follow up unless removed
|-
|-
| Example || Example || Example
|
* Follow yearly if not removed
|| '''Dermoid''' ||
* Follow yearly if not removed
|-
|-
| Example || Example || Example
!colspan="3"|Indeterminate but likely benign cysts
|-
|-
| Example || Example || Example
|
* Follow up at 6-12 weeks.
* If not resolved continue to follow with US or MRI.
* If benign lesion not confirmed by additional imaging then surgical referral.
|| '''Likely Hemorrhagic cyst, endometrioma, or dermoid (But not diagnostic)''' ||
* Follow up at 6-12 weeks.
* If not resolved continue to follow with US or MRI.
* If benign lesion not confirmed by additional imaging then surgical referral.
|-
|-
| Example || Example || Example
|
* Likely a benign neoplasm. Consider surgical referral.
| '''Multiple thin septations''' ||
* Likely a benign neoplasm. Consider surgical referral.
|-
|-
| Example || Example || Example
|
* Likely a benign neoplasm. Consider surgical referral.
|| '''Mural nodule without flow''' ||
* Likely a benign neoplasm. Consider surgical referral.
|-
|-
| Example || Example || Example
! colspan="3" | Cysts with worrisome characteristics
|-
|-
| Example || Example || Example
|
* Surgical referral.
|| '''Thick (>3mm), irregular septations. Nodule with flow.''' ||
* Surgical referral.
|}
|}
# [http://radiology.rsnajnls.org/content/256/3/943.full Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statementby Deborah Levine et al. September 2010 Radiology, 256, 943-954.]
[https://pubs.rsna.org/doi/pdf/10.1148/radiol.10100213 Full Article]

Latest revision as of 13:47, 31 October 2018

Reproductive Age Cyst Morphology Postmenopausal
  • <3cm, Optional to mention. No follow up.
  • 3-5cm, Mention in report. No follow up
  • 5-6cm, Yearly followup
  • >7cm, Surgical referral
 Simple Cysts
  • 1-7cm, yearly followup
  • >7cm, surgical referral
  • <5cm, No follow up
  • >5cm 6-12 week follow up to ensure resolution
 Hemorrhagic Cysts
  • Early post-menopausal, 6-12 week follow up to ensure resolution
  • Late post-menopausal, consider surgical referral
  • Initial follow up at 6-12 weeks
  • Yearly follow up unless removed
 Endometrioma
  • Initial follow up at 6-12 weeks
  • Yearly follow up unless removed
  • Follow yearly if not removed
 Dermoid
  • Follow yearly if not removed
Indeterminate but likely benign cysts
  • Follow up at 6-12 weeks.
  • If not resolved continue to follow with US or MRI.
  • If benign lesion not confirmed by additional imaging then surgical referral.
 Likely Hemorrhagic cyst, endometrioma, or dermoid (But not diagnostic)
  • Follow up at 6-12 weeks.
  • If not resolved continue to follow with US or MRI.
  • If benign lesion not confirmed by additional imaging then surgical referral.
  • Likely a benign neoplasm. Consider surgical referral.
 Multiple thin septations
  • Likely a benign neoplasm. Consider surgical referral.
  • Likely a benign neoplasm. Consider surgical referral.
 Mural nodule without flow
  • Likely a benign neoplasm. Consider surgical referral.
Cysts with worrisome characteristics
  • Surgical referral.
 Thick (>3mm), irregular septations. Nodule with flow.
  • Surgical referral.
  1. Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statementby Deborah Levine et al. September 2010 Radiology, 256, 943-954.

Full Article

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