On US: SRU Criteria: Difference between revisions

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* Follow yearly if not removed
* Follow yearly if not removed
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! !! Indeterminate but likely benign cysts !!
!colspan="3"|Indeterminate but likely benign cysts
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| Example || Example || Example
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* 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.
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|-
| Example || Example || Example
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* Likely a benign neoplasm. Consider surgical referral.
|| '''Mural nodule without flow''' ||
* Likely a benign neoplasm. Consider surgical referral.
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| Example || Example || Example
! colspan="3" | Cysts with worrisome characteristics
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| Example || Example || Example
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* Surgical referral.
|| '''Thick (>3mm), irregular septations. Nodule with flow.''' ||
* Surgical referral.
|}
|}

Revision as of 13:46, 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.