Risk of malignancy in sonographically confirmed ovarian tumors

Clinical Obstetrics and Gynecology
Rachel Ware Miller, Frederick R Ueland

Abstract

Ovarian cancer is the leading cause of gynecologic cancer death in the United States. Once an ovarian tumor is identified, a pelvic ultrasound is recommended, including tumor volume and tumor structure. Unilocular and simple septate tumors are unlikely to be malignant and when asymptomatic, can be safely followed conservatively without surgery. Complex ovarian tumors are at an increased risk for malignancy and secondary testing is recommended. Secondary testing may include CA125, OVA1, the RMI, ROMA, or the ACOG referral guidelines. When secondary testing indicates that an ovarian tumor is at high risk for malignancy, referral to a gynecologic oncologist is recommended.

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Citations

Dec 15, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Camila CamposSophie Derchain
Jan 31, 2018·The Journal of Pharmacy and Pharmacology·Swati Chaurasiya, Vijay Mishra
Apr 8, 2016·Obstetrics and Gynecology·John Rensselaer van Nagell, Rachel Ware Miller

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