Ovarian Cystic Adnexal Masses. February 2015

Size: px
Start display at page:

Download "Ovarian Cystic Adnexal Masses. February 2015"

Transcription

1 Ovarian Cystic Adnexal Masses February 2015

2 Dr. Paul Riley FRANZCR FRCR MRCS MBChB BSc Med Sci Keystone Radiology Group 2013

3 Ovarian Cystic Adnexal Masses OBJECTIVES Common ovarian cyst presentations. Common ovarian cyst appearances. Distil the consensus findings of the IOTA trial from peer reviews. Ovarian cyst management pathway.

4 Sources

5 Ovarian Cysts: Initial Considerations Often incidental. Often clinically insignificant or benign. Indication Menopausal status Age, LMP, OCP, HRT Laboratory findings, Hb, Ca-125 Transabdominal Ultrasound Transvaginal Ultrasound

6 Simple Ovarian cyst Ovarian cystadenoma

7 Beware of Mimics Hydrosalpinx Paraovarian Cysts Peritoneal Inclusion Cysts

8 IOTA: Improving Strategies For Diagnosing Ovarian Cancer Standardise terms and definitions. Centred around the study of persistent adnexal masses. 20 Different centres in different countries. Prospective trial (6 phases between ) 1) Role of Ca125 in Dx 2) External validation. 3) Second stage tests incl. U/S, Doppler, new tumour markers. 4) Performance of IOTA against different levels of ultrasound experience. 5) Long Term behaviour of Ovarian masses managed expectantly. Phase 2 Standardize terms. Assessed demographic and ultrasound variables Phase 3 5 Malignant features or M-features 5 Benign Feature or B-features. Mass is classified as malignant if at least one M-feature and no B-features are present and vice versa No B or M features or both B and M features then unclassifiable.

9

10

11

12

13

14

15 Atypical lesions Clot misinterpreted as a solid nodule. Fibrin strands misinterpreted as septations. Endometriomas and haemorrhagic cysts can have irregular walls. Thin septations, mural calcifications. Indeterminate but likely benign. Interval ultrasound +/- MR. GI-RADS.

16 Recommendations based on IOTA Findings At least 75% of adnexal masses classified as benign or malignant. 25% specialist assessment +/or further imaging. Ca-125 not necessary in premenopausal women

17 Guidelines for Premenopausal Women Simple or haemorrhagic cysts <3cm. No follow up. May be omitted from report at the discretion of interpreting radiologist. Simple or haemorrhagic cysts >3cm and < 5cm. Do not require follow up but should be mentioned in the report. Simple cysts > 5cm and < 7cm. Should be followed up to ensure stability and/or resolution. Haemorrhagic cysts > 5cm and < 7cm. Should be followed up to ensure resolution in 6 12 weeks. Simple cysts >7cm. Further imaging (e.g. MRI) or surgical intervention.

18 Guidelines for Premenopausal or Postmenopausal Women Classic appearing Endometriomas; 6-12 week follow up. Potential for annual follow up. Classic appearing dermoids ; 6-12 month follow up. Classic appearing hydrosalpinx or PIC do not require F/U. Paraovarian cysts are followed up by the same criteria as ovarian cysts.

19 Guidelines for Women in Early Menopause Any classic appearing haemorrhagic cysts should be described and followed up in 6-12 weeks to ensure resolution.

20 Guidelines for Postmenopausal Women. Simple cysts < 1cm do note require F/U. May be omitted from report. Simple cysts >1cm and <7cm should be described in the report. Annual F/U. Simple cysts >7cm. Further imaging (e.g. MRI) or surgical intervention. Haemorrhagic cysts should not occur in anovulatory women. Therefore, should be considered neoplastic.

21 Conclusion Typical appearances of some ovarian cystic lesions IOTA Standardised descriptions Predictive models for benignity vs malignant Management principles

22 Conclusion Premenopausal women cysts >5cm 6-12 week F/U Postmenopausal women cysts >1cm month F/U Cysts >7cm. Further imaging (MRI) or surgical intervention. Atypical or indeterminate lesions Further imaging and/or specialist review. Classical benign and malignant features Thick septations, nodules (with blood flow) wall thickening have malignant risk and should be surgically evaluated. Dermoids and Endometriomas Annual F/U

23 References Faye C.L., Allison S.J. US of the Ovary and Adnexa. To Worry or not to Worry? Radiographics 2012; 32: Levine D, Brown D et al Managment of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US. Radiology 2010 vol Kaijser J, Bourne et al Key Findings from the International Ovarian Tumour Analysis (IOTA) Study AJUM (3) Kaijser J, Bourne et al Improving Strategies for Diagnosing Ovarian Cancer a summary from IOTA Ultrasound Obstet Gynecol

24 Q & A

Benign Ovarian Masses

Benign Ovarian Masses Benign Ovarian Masses Anthony Hanbidge Learning Objectives Describe technique for assessment of ovarian masses Explain importance of transvaginal scan List the common benign masses Specify distinguishing

More information

POSTMENOPAUSAL ASSESS AND WHAT TO DO

POSTMENOPAUSAL ASSESS AND WHAT TO DO POSTMENOPAUSAL OVARIAN CYSTS:HOW TO ASSESS AND WHAT TO DO Steven R. Goldstein, MD Professor of Obstetrics and Gynecology Director of Gynecologic Ultrasound Co-Director, Bone Densitometry New York University

More information

Ovarian Cysts Made Simple Michael East. Oxford Clinic

Ovarian Cysts Made Simple Michael East. Oxford Clinic Ovarian Cysts Made Simple Michael East Oxford Clinic Objectives of this talk To understand risk of malignancy and thus not fear it Practical advice for follow up of asymptomatic cysts Practical advice

More information

Ovarian cysts Diagnosis and Management

Ovarian cysts Diagnosis and Management Ovarian cysts Diagnosis and Management Mr P K Athanasias MRCOG Consultant Gynaecologist St Anthony s Hospital pathanasias@gmail.com Introduction ovary is an ovum-producing reproductive organ located in

More information

Variations in Appearance of Endometriomas

Variations in Appearance of Endometriomas CME rticle Variations in ppearance of Endometriomas Elizabeth sch,, Deborah Levine, MD Objective. ecause of the range of patient ages with endometriosis, the persistence of endometriomas, and the degradation

More information

Sonographic Spectrum of Hemorrhagic Ovarian Cysts

Sonographic Spectrum of Hemorrhagic Ovarian Cysts Image Presentation Sonographic Spectrum of Hemorrhagic Ovarian Cysts Kiran A. Jain, MD Objective. To present the spectrum of sonographic findings associated with hemorrhagic ovarian cysts. Methods. Experience

More information

Guideline on the management of ovarian masses. Gynaecologists, radiologists, sonographers, nurses. Ovarian masses, ovarian cysts, management

Guideline on the management of ovarian masses. Gynaecologists, radiologists, sonographers, nurses. Ovarian masses, ovarian cysts, management Guideline on the management of ovarian masses. A clinical guideline recommended for use In: By: For: Key words: Written by: Gynaecology Services Gynaecologists, radiologists, sonographers, nurses Management

More information

Gynecology Abnormal Physiology of the ovaries. Simple Cystic Masses

Gynecology Abnormal Physiology of the ovaries. Simple Cystic Masses Gynecology Abnormal Physiology of the ovaries (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Simple Cystic Masses ovary s function is to mature oocytes until

More information

Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter

Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter Susan C. Modesitt, MD, Edward J. Pavlik, PhD, Frederick R. Ueland, MD, Paul D. DePriest, MD, R. J. Kryscio, PhD,

More information

Ovarian Torsion: Sonographic Evaluation

Ovarian Torsion: Sonographic Evaluation J Clin Ultrasound 17:327-332, June 1989 Ovarian Torsion: Sonographic Evaluation Mark A. Helvie, MD,* and Terry M. Silver, MDI Abstract: The sonographic and clinical findings of 13 patients with surgically

More information

Try out the online ROMA calculator available on the Elecsys HE4 page at cobas.com

Try out the online ROMA calculator available on the Elecsys HE4 page at cobas.com Try out the online calculator available on the Elecsys HE4 page at cobas.com Download the Roche application for the iphone and the ipad from the App Store. Roche References 1 Huhtinen, K. et al. (29).

More information

The Adnexal Mass and Early Ovarian Cancer

The Adnexal Mass and Early Ovarian Cancer The Adnexal Mass and Early Ovarian Cancer Fred Ueland, MD University of Kentucky Gynecologic Oncology Never give in. Never give in. Never, never, never, never- in nothing great or small, large or petty-

More information

Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system.

Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Ovarian Cysts Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Most women have ovarian cysts sometime

More information

K Raja/N Varol FPA 2013. FPA Sydney August 31 2013

K Raja/N Varol FPA 2013. FPA Sydney August 31 2013 FPA Sydney August 31 2013 Ms wilson 32 year old woman Presents with worsening, heavy menstrual and intermenstrual bleeding and pain for 6 months. Ms Wilson What is the differential diagnosis What are the

More information

ProSono Copyright 2006. Ovarian Pathology

ProSono Copyright 2006. Ovarian Pathology Ovarian Pathology Physiologic cysts: Functional cysts Pathology: A simple cyst is a sac containing fluid or semi-solid material. Physiologic cysts are generic types of hormonally active cysts that result

More information

3 Summary of clinical applications and limitations of measurements

3 Summary of clinical applications and limitations of measurements CA125 (serum) 1 Name and description of analyte 1.1 Name of analyte Cancer Antigen 125 (CA125) 1.2 Alternative names Mucin 16 1.3 NLMC code To follow 1.4 Description of analyte CA125 is an antigenic determinant

More information

The Society of Radiologists in Ultrasound (SRU) convened

The Society of Radiologists in Ultrasound (SRU) convened ORIGINAL RESEARCH Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US Society of Radiologists in Ultrasound Consensus Conference Statement Deborah Levine, MD,* Douglas L. Brown, MD,Þ

More information

OVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional

OVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional OVARIAN CYSTS Follicular Cyst Ovarian cysts are fluid-filled sacs that form within or on the ovary. The majority of these cysts are functional meaning they usually form during a normal menstrual cycle.

More information

良 性 附 屬 器 腫 瘤 簡 介. Benign adnexal mass

良 性 附 屬 器 腫 瘤 簡 介. Benign adnexal mass 良 性 附 屬 器 腫 瘤 簡 介 Benign adnexal mass Prepubertal Age Group Adolescent Age Group Reproductive Age Group Postmenopausal Age Group Prepubertal Age Group Differential Diagnosis Diagnosis and Management Prepubertal

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Ovarian Cysts

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Ovarian Cysts Ovarian Cysts WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 The ovaries are two small organs located on either side of a woman s uterus. An ovarian cyst is a sac or pouch filled with fluid

More information

District of Columbia. c Department of Radiology, University Hospitals, Case Western Reserve University,

District of Columbia. c Department of Radiology, University Hospitals, Case Western Reserve University, Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 1: White Paper of the ACR Incidental Findings Committee II on Adnexal Findings Maitray D. Patel, MD a, Susan M. Ascher, MD b, Raj Mohan

More information

DISCLOSURE OBJECTIVES IN THE INEREST OF TIME LAPAROSCOPY AND AN APPROACH TO THE ADNEXAL MASS

DISCLOSURE OBJECTIVES IN THE INEREST OF TIME LAPAROSCOPY AND AN APPROACH TO THE ADNEXAL MASS LAPAROSCOPY AND AN APPROACH TO THE ADNEXAL MASS DISCLOSURE I do not have any financial relationship with commercial interests. Michael Traynor Michael Traynor MD MPH Northwest Permanente, PC KAISER PERMANENTE

More information

OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN I

OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN I OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN I Is it raccomended that ovarian cysts in postmenopausal women should be assessed using CA 125 and transvaginal grey scale sonography. Serum CA 125 is raised in over

More information

Cystic Neoplasms of the Pancreas: A multidisciplinary approach to the prevention and early detection of invasive pancreatic cancer.

Cystic Neoplasms of the Pancreas: A multidisciplinary approach to the prevention and early detection of invasive pancreatic cancer. This lecture is drawn from the continuing medical education program Finding Hope: Prevention, Early Detection and Treatment of Pancreatic Cancer, Nov, 2011. Robert P. Jury, MD Cystic Neoplasms of the Pancreas:

More information

The Radiologic Evaluation of the Ovary

The Radiologic Evaluation of the Ovary September 2000 The Radiologic Evaluation of the Ovary Aradhana M. Venkatesan,, Harvard Medical School Year- IV MD 1 Menu of Tests Trans-abdominal pelvic ultrasound Trans-vaginal pelvic ultrasound Pelvic

More information

Gynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis

Gynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis Gynecology Abnormal Pelvic Anatomy and Physiology: (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Cervix Nabothian cysts result from chronic cervicitis most

More information

Evaluation and Management of the Breast Mass. Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003

Evaluation and Management of the Breast Mass. Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003 Evaluation and Management of the Breast Mass Gary Dunnington,, M.D. Department of Surgery Internal Medicine Ambulatory Conference December 4, 2003 Common Presentations of Breast Disease Breast Mass Abnormal

More information

LAPAROSCOPIC OVARIAN CYSTECTOMY

LAPAROSCOPIC OVARIAN CYSTECTOMY LAPAROSCOPIC OVARIAN CYSTECTOMY Information Leaflet Your Health. Our Priority. Page 2 of 5 About this information This leaflet is for you if you have a cyst on one or both ovaries and are considering surgery.

More information

Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S.

Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S. Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S. Gynecologic Oncology, Surgery and Endoscopy 4370 Alpine Road Portola Valley, CA 94028-7523 Phone: (650)-851-6669 FAX: (650) 851-9747 Regarding Ovarian Cancer,

More information

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002 Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during

More information

Hereditary Breast and Ovarian Cancer (HBOC)

Hereditary Breast and Ovarian Cancer (HBOC) Oxford University Hospitals NHS Trust Oxford Regional Genetic Department Hereditary Breast and Ovarian Cancer (HBOC) Information for women with an increased lifetime risk of breast and ovarian cancer What

More information

Renal Cysts What should I do now?

Renal Cysts What should I do now? Renal Cysts What should I do now? Dr Edmund Chiong Asst. Professor & Consultant Department of Urology National University Hospital What are renal cysts? Fluid-filled structures in the kidney that are not

More information

Gynecologic Cancer in Women with Lynch Syndrome

Gynecologic Cancer in Women with Lynch Syndrome Gynecologic Cancer in Women with Lynch Syndrome Sarah E. Ferguson, MD FRCSC Division of Gynecologic Oncology, Princess Margaret Hospital, University of Toronto June 11, 2013 Objective 1. To review the

More information

Breast Ultrasound: Benign vs. Malignant Lesions

Breast Ultrasound: Benign vs. Malignant Lesions October 25-November 19, 2004 Breast Ultrasound: Benign vs. Malignant Lesions Jill Steinkeler,, Tufts University School of Medicine IV Breast Anatomy Case Presentation-Patient 1 62 year old woman with a

More information

Measure #405: Appropriate Follow-up Imaging for Incidental Abdominal Lesions National Quality Strategy Domain: Effective Clinical Care

Measure #405: Appropriate Follow-up Imaging for Incidental Abdominal Lesions National Quality Strategy Domain: Effective Clinical Care Measure #405: Appropriate Follow-up Imaging for Incidental Abdominal Lesions National Quality Strategy Domain: Effective Clinical Care 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION:

More information

OVARIAN CYSTS, MASSES and other pains OBJECTIVES FETAL AND NEONATAL OVARIAN CYSTS 11/26/2012. Anne Marie Priebe, DO

OVARIAN CYSTS, MASSES and other pains OBJECTIVES FETAL AND NEONATAL OVARIAN CYSTS 11/26/2012. Anne Marie Priebe, DO OVARIAN CYSTS, MASSES and other pains Anne Marie Priebe, DO Fellow, Adolescent Gynecology Children s Mercy Hospital Kansas City, MO OBJECTIVES Describe the normal anatomical and physiologic development

More information

Screening Asymptomatic Women for Ovarian Cancer: American College of Preventive Medicine Practice Policy Statement

Screening Asymptomatic Women for Ovarian Cancer: American College of Preventive Medicine Practice Policy Statement ATTENTION This Policy was reaffirmed by the ACPM Board of Regents on 1/31/2005 and is effective through 1/31/2010. Screening Asymptomatic Women for Ovarian Cancer: American College of Preventive Medicine

More information

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA Breast Imaging Made Brief and Simple Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA What women are referred for breast imaging? Two groups of women are referred for

More information

Safe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer

Safe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer Safe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer Camran Nezhat,, MD, FACOG, FACS Stanford University Medical Center Center for Special Minimally Invasive

More information

Ovarian Teratomas Appearing as Solid Masses on Ultrasonography

Ovarian Teratomas Appearing as Solid Masses on Ultrasonography Ovarian Teratomas Appearing as Solid Masses on Ultrasonography Dong Kyung Lee, MD, Seung Hyup Kim, MD, Jeong Yeon Cho, MD, Sang Joon Shin, MD, Kyung Mo Yeon, MD The purposes of this study were to evaluate

More information

Harlem Hospital Center Integrated Radiology Residency Program Mammography Educational goals and objectives

Harlem Hospital Center Integrated Radiology Residency Program Mammography Educational goals and objectives Harlem Hospital Center Integrated Radiology Residency Program Mammography Educational goals and objectives Rotation 1 (Radiology year 1/2) Knowledge Based Objectives: At the end of the rotation, the resident

More information

Parametric mapping of contrasted ovarian transvaginal sonography.

Parametric mapping of contrasted ovarian transvaginal sonography. Thomas Jefferson University Jefferson Digital Commons Department of Radiology Faculty Papers Department of Radiology 6-6-2015 Parametric mapping of contrasted ovarian transvaginal sonography. Katrina Korhonen

More information

Progress and Prospects in Ovarian Cancer Screening and Prevention

Progress and Prospects in Ovarian Cancer Screening and Prevention Progress and Prospects in Ovarian Cancer Screening and Prevention Rebecca Stone, MD MS Assistant Professor Kelly Gynecologic Oncology Service The Johns Hopkins Hospital 1 No Disclosures 4/12/2016 2 Ovarian

More information

Saint Mary s Hospital. Ovarian Cysts. Information For Patients

Saint Mary s Hospital. Ovarian Cysts. Information For Patients Saint Mary s Hospital Ovarian Cysts Information For Patients 2 Contents Welcome 4 What are ovarian cysts? 4 How common are ovarian cysts? 6 Ovarian cysts and fertility 6 What are the symptoms of ovarian

More information

Transvaginal Gray Scale and Color Doppler Sonography in Primary Ovarian Cancer and Metastatic Tumors to the Ovary

Transvaginal Gray Scale and Color Doppler Sonography in Primary Ovarian Cancer and Metastatic Tumors to the Ovary Article Transvaginal Gray Scale and Color Doppler Sonography in Primary Ovarian Cancer and Metastatic Tumors to the Ovary Juan Luis Alcázar, MD, María José Galán, MD, Carolina Ceamanos, MD, Manuel García-Manero,

More information

Breast Cancer Screening. Dr Jennifer Tan Radiologist Alfred Imaging BreastScreen SLHD, SWSLHD and GWNSW

Breast Cancer Screening. Dr Jennifer Tan Radiologist Alfred Imaging BreastScreen SLHD, SWSLHD and GWNSW Breast Cancer Screening Dr Jennifer Tan Radiologist Alfred Imaging BreastScreen SLHD, SWSLHD and GWNSW Learning Objectives Identify risk factors for breast cancer What to do with this information - GP

More information

Uterine Fibroid Symptoms, Diagnosis and Treatment

Uterine Fibroid Symptoms, Diagnosis and Treatment Fibroids and IR Uterine Fibroid Symptoms, Diagnosis and Treatment Interventional radiologists use MRIs to determine if fibroids can be embolised, detect alternate causes for the symptoms and rule out misdiagnosis,

More information

Ovarian Cancer: A Case Report

Ovarian Cancer: A Case Report Ovarian Cancer: A Case Report Abstract Ovarian cancer is a very common cancer among women. It is an extremely diverse disease requiring several treatment options. Occasionally ovarian cancer is diagnosed

More information

Nicole Kounalakis, MD

Nicole Kounalakis, MD Breast Disease: Diagnosis and Management Nicole Kounalakis, MD Assistant Professor of Surgery Goal of Breast Evaluation The goal of breast evaluation is to classify findings as: normal physiologic variations

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy Proteomics-based Testing Related to Ovarian Cancer File Name: Origination: Last CAP Review: Next CAP Review: Last Review: proteomics_based_testing_related_to_ovarian_cancer 7/2010

More information

Comparison of anti-mullerian hormone level in nonendometriotic benign ovarian cyst before and after laparoscopic cystectomy

Comparison of anti-mullerian hormone level in nonendometriotic benign ovarian cyst before and after laparoscopic cystectomy Iran J Reprod Med Vol. 13. No. 3. pp: 149-154, March 2015 Original article Comparison of anti-mullerian hormone level in nonendometriotic benign ovarian cyst before and after laparoscopic cystectomy Sedigheh

More information

Are You at Risk for Ovarian Cancer?

Are You at Risk for Ovarian Cancer? Are You at Risk for Ovarian Cancer? A Woman s Guide Read this brochure to learn more about ovarian cancer symptoms, risk factors and what you can do to reduce your risk. ALL WOMEN HAVE SOME RISK OF OVARIAN

More information

How To Decide If You Should Get A Mammogram

How To Decide If You Should Get A Mammogram American Medical Women s Association Position Paper on Principals of Breast Cancer Screening Breast cancer affects one woman in eight in the United States and is the most common cancer diagnosed in women

More information

HEREDITARY BRCA1. Faulty gene INFORMATION LEAFLET. How Do I Reduce My Risk?

HEREDITARY BRCA1. Faulty gene INFORMATION LEAFLET. How Do I Reduce My Risk? HEREDITARY BREAST CANCER BRCA1 Faulty gene INFORMATION LEAFLET How Do I Reduce My Risk? Page 1 CONTENTS Part A 1 What is BRCA1 2 How does BRCA1 affect a person s risk of cancer? 3Testing for BRCA1 4Benefits

More information

Transvaginal Sonographic Guidance of Puncture Procedures: Minimally Invasive Surgery

Transvaginal Sonographic Guidance of Puncture Procedures: Minimally Invasive Surgery : Safety and Efficacy Frances R. Batzer, MD, MBE Clinical Professor, Obstetrics & Gynecology Thomas Jefferson University Hospital Philadelphia, PA Safety and Efficacy Learning Objectives Describe patient

More information

Polyps. Hyperplasias. CAP 2011: Course AP104. The High Risk Benign Endometrium. Mutter and Nucci 1

Polyps. Hyperplasias. CAP 2011: Course AP104. The High Risk Benign Endometrium. Mutter and Nucci 1 Course AP104 Endometrial Hyperplasia A morphologic Definition Hyperplasias Hormonal Effect or Precancer? George L. Mutter, MD Harvard Medical School and Brigham and Women s Hospital Boston, MA Endometrial

More information

Sustaining a High-Quality Breast MRI Practice

Sustaining a High-Quality Breast MRI Practice Sustaining a High-Quality Breast MRI Practice Christoph Lee, MD, MSHS Associate Professor of Radiology Adjunct Associate Professor, Health Services University of Washington September 11, 2015 Overview

More information

Ovarian Cystectomy / Oophorectomy

Ovarian Cystectomy / Oophorectomy Cystectomy and Ovarian Cysts Ovarian cysts are sacs filled with fluids or pockets located on or in an ovary. In some cases, these cysts need to be removed surgically. Types of Cysts Ovarian cysts are quite

More information

The attached guidance is for women of average risk. A summary of this information follows. 1.

The attached guidance is for women of average risk. A summary of this information follows. 1. Know Your Body. Know The Symptoms. Help Spread The Word. Help Spread The Word. Introduction to Guidance Annually, more than 15,000 women die from ovarian cancer. Survival rates have remained steady near

More information

Three-Dimensional Inversion Rendering

Three-Dimensional Inversion Rendering Image Presentation Three-Dimensional Inversion Rendering New Sonographic Technique and Its Use in Gynecology Ilan E. Timor-Tritsch, MD, RDMS, na Monteagudo, MD, RDMS, Tanya Tsymbal,, RDMS, Irina Strok,

More information

Frequently Asked Questions About Ovarian Cancer

Frequently Asked Questions About Ovarian Cancer Media Contact: Gerri Gomez Howard Cell: 303-748-3933 gerri@gomezhowardgroup.com Frequently Asked Questions About Ovarian Cancer What is ovarian cancer? Ovarian cancer is a cancer that forms in tissues

More information

Abnormal Uterine Bleeding FAQ Sheet

Abnormal Uterine Bleeding FAQ Sheet Abnormal Uterine Bleeding FAQ Sheet What is abnormal uterine bleeding? Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between

More information

RBH GUIDELINES FOR ULTRASOUND REFERRAL

RBH GUIDELINES FOR ULTRASOUND REFERRAL RBH GUIDELINES FOR ULTRASOUND REFERRAL Introduction Ultrasound can be very useful as a first line investigation; it is typically non-invasive and does not involve ionising radiation. However, a significant

More information

Comparison of ovarian cyst formation in women using the

Comparison of ovarian cyst formation in women using the Ultrasound Obstet Gynecol 2002; 20: 381 385 Comparison of ovarian cyst formation in women using the Blackwell Science, Ltd levonorgestrel-releasing intrauterine system vs. hysterectomy P. INKI*, R. HURSKAINEN

More information

Incidence of Incidental Thyroid Nodules on Computed Tomography (CT) Scan of the Chest Performed for Reasons Other than Thyroid Disease

Incidence of Incidental Thyroid Nodules on Computed Tomography (CT) Scan of the Chest Performed for Reasons Other than Thyroid Disease International Journal of Clinical Medicine, 2011, 2, 264-268 doi:10.4236/ijcm.2011.23042 Published Online July 2011 (http://www.scirp.org/journal/ijcm) Incidence of Incidental Thyroid Nodules on Computed

More information

Introduction to Gynecologic Oncology

Introduction to Gynecologic Oncology Objectives Cervical Dysplasia and Cancer Introduction to Gynecologic Oncology Department of Obstetrics and Gynecology University of Western Ontario Discuss the incidence and risk factors for cervical dysplasia

More information

2014 OB/GYN Surgery Medicare Reimbursement Coding Guide

2014 OB/GYN Surgery Medicare Reimbursement Coding Guide 2014 OB/GYN Surgery Medicare Reimbursement Coding Guide Effective January 1, 2014 Medicare National Average Rates and Allowables (Not Adjusted For Geography) CPT * HCPCS Code 58150 58152 58180 58200 58210

More information

POST MENOPAUSAL BLEEDING CHECKLIST. Ultrasound. Information folder given to patient. Booking form faxed/emailed

POST MENOPAUSAL BLEEDING CHECKLIST. Ultrasound. Information folder given to patient. Booking form faxed/emailed POST MENOPAUSAL BLEEDING CHECKLIST Ultrasound Information folder given to patient Booking form faxed/emailed 1 BOOKING FORM - HYSTEROSCOPY FOR POST MENOPAUSAL BLEEDING Patient s Name: Surname: DOB: / /

More information

Giant Cysts of Ovary, A Benign Neoplastic Disease Mimicking Ascites

Giant Cysts of Ovary, A Benign Neoplastic Disease Mimicking Ascites Article ID: WMC002405 ISSN 2046-1690 Giant Cysts of Ovary, A Benign Neoplastic Disease Mimicking Ascites Corresponding Author: Dr. Tanweer Karim, MS, Department of Surgery, MGM Medical College, Navimumbai,

More information

Nature and Science 2015;13(4) http://www.sciencepub.net/nature

Nature and Science 2015;13(4) http://www.sciencepub.net/nature The Incidence and Histopathological Patterns of Ovarian Tumours in Bab Alshaaria University Hospital: Retrospective Study Tarek Ramadan Abbas 1 and Emadeldin R. Matar 2 1 Obstetric& Gynecology Department,

More information

BRCA Genes and Inherited Breast and Ovarian Cancer. Patient information leaflet

BRCA Genes and Inherited Breast and Ovarian Cancer. Patient information leaflet BRCA Genes and Inherited Breast and Ovarian Cancer Patient information leaflet This booklet has been written for people who have a personal or family history of breast and/or ovarian cancer that could

More information

Understanding Your Risk of Ovarian Cancer

Understanding Your Risk of Ovarian Cancer Understanding Your Risk of Ovarian Cancer A WOMAN S GUIDE This brochure is made possible through partnership support from Project Hope for Ovarian Cancer Research and Education. Project HOPE FOR OVARIAN

More information

Office of Population Health Genomics

Office of Population Health Genomics Office of Population Health Genomics Policy: Protocol for the management of female BRCA mutation carriers in Western Australia Purpose: Best Practice guidelines for the management of female BRCA mutation

More information

Breast Cancer Follow-Up

Breast Cancer Follow-Up Diagnosis and Treatment of Patients with Primary and Metastatic Breast Cancer Breast Cancer Follow-Up Breast Cancer Follow-Up Version 2002: Thomssen / Scharl Version 2003 2009: Bauerfeind / Bischoff /

More information

Breast Cancer: from bedside and grossing room to diagnoses and beyond. Adriana Corben, M.D.

Breast Cancer: from bedside and grossing room to diagnoses and beyond. Adriana Corben, M.D. Breast Cancer: from bedside and grossing room to diagnoses and beyond Adriana Corben, M.D. About breast anatomy Breasts are special organs that develop in women during puberty when female hormones are

More information

What are the differences between fibroid and ovarian cyst?

What are the differences between fibroid and ovarian cyst? DR LEE KEEN WHYE MBBS (Singapore), FRCOG (U.K), FAMS (Singapore) Consultant Obstetrician & Gynaecologist Advisor, Endometriosis Association, Singapore KW Lee Clinic & Surgery For Women No. 6 Napier Road,

More information

Pelvic Pain and In Vitro Fertilization

Pelvic Pain and In Vitro Fertilization September 2006 Pelvic Pain and In Vitro Fertilization Celeste Lopez, Harvard Medical School Year III September 18, 2006 Mrs. G 37yo with IVF oocyte retrieval the day before presentation to the ED Complains

More information

Percutaneous drainage as the treatment of choice for neonatal ovarian cysts

Percutaneous drainage as the treatment of choice for neonatal ovarian cysts Pediatr Radiol DOI 10.1007/s00247-006-0240-0 ORIGINAL ARTICLE Ada Kessler. Hagith Nagar. Moshe Graif. Liat Ben-Sira. Elka Miller. Drora Fisher. Irith Hadas-Halperin Percutaneous drainage as the treatment

More information

Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer

Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer Guideline for the Imaging of Patients Presenting with Breast Symptoms incorporating the guideline for the use of MRI in breast cancer Version History Version Date Summary of Change/Process 0.1 09.01.11

More information

U.K. Familial Ovarian Cancer Screening Study (UK FOCSS) Phase 2 Patient Information Sheet

U.K. Familial Ovarian Cancer Screening Study (UK FOCSS) Phase 2 Patient Information Sheet U.K. Familial Ovarian Cancer Screening Study (UK FOCSS) Phase 2 Patient Information Sheet 1. Invitation You are being invited to take part in a research study. Before you decide it is important for you

More information

3D in Gynecology: Luxury or necessity?

3D in Gynecology: Luxury or necessity? ISUOG 2011 Los Angeles September 16-22 3D in Gynecology: Luxury or necessity? Ilan E. Timor-Tritsch Educational objectives To describe the 3D US tools available to complement 2D US To apply these tools

More information

Abnormal Uterine Bleeding: Simple evaluation and management in premenopausal women

Abnormal Uterine Bleeding: Simple evaluation and management in premenopausal women Objectives Abnormal Uterine Bleeding: Simple evaluation and management in premenopausal women Provide a framework to evaluate abnormal uterine bleeding (AUB) Review medical and surgical management options

More information

From www.gp update.co.uk one day courses for GPs, by GPs

From www.gp update.co.uk one day courses for GPs, by GPs Ovarian cancer Ovarian cancer is notoriously difficult to diagnose and is frequently diagnosed late. However, it is not a silent killer. How best can we work out when to suspect it and what investigations

More information

Small Echogenic Foci in the Ovaries

Small Echogenic Foci in the Ovaries Case Series Small Echogenic Foci in the Ovaries Correlation With Histologic Findings Douglas L. Brown, MD, Mary C. Frates, MD, Michael G. Muto, MD, William R. Welch, MD Objective. The purpose of this study

More information

Neonatal Ovarian Cysts: Role of Sonography in Diagnosing Torsion

Neonatal Ovarian Cysts: Role of Sonography in Diagnosing Torsion Case Series 291 Neonatal Ovarian Cysts: Role of Sonography in Diagnosing Torsion Dinesh Chinchure, 1 FRCR, Chiou Li Ong, 2 FRCR, Amos HP Loh, 3 MRCSEd, Victor S Rajadurai, 4 MRCP Abstract Introduction:

More information

All you need to know about Endometriosis. Nordica Fertility Centre, Lagos, Asaba, Abuja

All you need to know about Endometriosis. Nordica Fertility Centre, Lagos, Asaba, Abuja All you need to know about Endometriosis October, 2015 About The Author Nordica Lagos Fertility Centre is one of Nigeria's leading centres for world class Assisted Reproductive Services, with comfort centres

More information

PART TWO: DIAGNOSING BREAST CANCER

PART TWO: DIAGNOSING BREAST CANCER PART TWO: DIAGNOSING BREAST CANCER What is Breast Cancer? Normal cells can turn into cancer because of genetic inheritance or repeated exposure to a cancer-related substance in the environment, such as

More information

Common Breast Complaints:

Common Breast Complaints: : Palpable mass Abnormal mammogram with normal physical exam Vague thickening or nodularity Nipple Discharge Breast pain Breast infection or inflammation The physician s goal is to determine whether the

More information

Abigail R. Proffer, M.D. October 4, 2013

Abigail R. Proffer, M.D. October 4, 2013 Abigail R. Proffer, M.D. October 4, 2013 Topics Human Papillomavirus (HPV) Vaccines Pap smears Colposcopy Contraception Polycystic Ovary Syndrome (PCOS) Can I get pregnant? Miscarriage Abnormal Uterine

More information

CONTEMPORARY MANAGEMENT OF RENAL ANGIOMYOLIPOMA

CONTEMPORARY MANAGEMENT OF RENAL ANGIOMYOLIPOMA CONTEMPORARY MANAGEMENT OF RENAL ANGIOMYOLIPOMA Stephen A. Boorjian, MD Professor of Urology Vice Chair of Research Director, Urologic Oncology Fellowship Department of Urology Mayo Clinic, Rochester,

More information

In 1981, the antigen CA-125 was identified by Bast

In 1981, the antigen CA-125 was identified by Bast Case Report 695 Ovarian Endometrioma Associated with Very High Serum Levels Chii-Shinn Shiau, MD; Ming-Yang Chang, MD; Chi-Hsin Chiang, MD; Ching-Chang Hsieh, MD; T'sang-T'ang Hsieh, MD is a 220-kD cell

More information

Breast Cancer s Link to Ovarian Cancer: It s in Your Genes. foundationforwomenscancer.org

Breast Cancer s Link to Ovarian Cancer: It s in Your Genes. foundationforwomenscancer.org Breast Cancer s Link to Ovarian Cancer: It s in Your Genes foundationforwomenscancer.org There are now more than 2.6 million women in America who have been diagnosed with breast cancer. A very small fraction

More information

w w w. a l t e r n a t i v e s u r g e r y. c o m Page 1

w w w. a l t e r n a t i v e s u r g e r y. c o m Page 1 w w w. a l t e r n a t i v e s u r g e r y. c o m Page 1 CONTENTS Ovarian Cysts... 4 What are Follicular Cysts?... 4 Diagnosis... 4 Treatment... 4 What are Corpus Luteum Cysts?... 5 What are Endometriomas

More information

CYSTS. Arachnoid Cyst also called Leptomeningeal Cyst

CYSTS. Arachnoid Cyst also called Leptomeningeal Cyst CYSTS This article was provided to us by David Schiff, MD, Associate Professor of Neurology, Neurosurgery, and Medicine at University of Virginia, Charlottesville. We appreciate his generous donation of

More information

Diagnosis of Ovarian Torsion with Color Doppler Sonography: Depiction of Twisted Vascular Pedicle

Diagnosis of Ovarian Torsion with Color Doppler Sonography: Depiction of Twisted Vascular Pedicle Diagnosis of Ovarian Torsion with Color Doppler Sonography: Depiction of Twisted Vascular Pedicle Eun Ju Lee, MD, Hyuck Chan Kwon, MD, Hee Jae Joo, MD, Jung Ho Suh, MD, Arthur C. Fleischer, MD The purpose

More information