Question

A 35-year-old presents with a suspicious adnexal mass. CA-125 is elevated. Transvaginal ultrasound shows a complex ovarian cyst. What is the next step?

Accepted Answer

TVS and RMI (Risk of Malignancy Index) calculation or referral to gynaecological oncology

Answer

MRI abdomen and pelvis

Answer

CT chest only

Answer

Immediate surgical removal without further assessment

Answer

Repeat ultrasound in 6 months

Practice question

A 35-year-old presents with a suspicious adnexal mass. CA-125 is elevated. Transvaginal ultrasound shows a complex ovarian cyst. What is the next step?