A 28-year-old woman presents to the GP with right-sided pelvic pain. An ultrasound reveals a 4 cm simple (unilocular, thin-walled, anechoic) ovarian c...

Question

A 28-year-old woman presents to the GP with right-sided pelvic pain. An ultrasound reveals a 4 cm simple (unilocular, thin-walled, anechoic) ovarian cyst with no solid components. Her CA-125 is 18 U/mL (normal

Accepted Answer

Repeat ultrasound in 8-12 weeks

Answer

Urgent 2-week wait referral to gynaecology

Answer

Refer for laparoscopic cystectomy

Answer

Arrange CT abdomen and pelvis

Answer

No follow-up required

uk-drcog MCQ (SBA): Simple Ovarian Cyst

A 28-year-old woman presents to the GP with right-sided pelvic pain. An ultrasound reveals a 4 cm simple (unilocular, thin-walled, anechoic) ovarian cyst with no solid components. Her CA-125 is 18 U/mL (normal <35). She is otherwise well. Which is the single most appropriate management?