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Ovarian Cysts (Summary from recent SRU Consensus Conference)

 

Simple cysts are unlikely to become malignant. As such, we can ignore simple cysts less than 3 cm in premenopausal women and simple cysts less than 1 cm in postmenopausal women. Yearly ultrasound follow-up is recommended for simple cysts greater than 5 cm in premenopausal women and simple cysts greater than 1 cm in postmenopausal women. When cysts become greater than 7 cm, our ability to be confident that they are truly simple cysts diminishes, and alternative imaging or surgical removal should be considered.