A 29-year-old woman presents to the GP with persistent lower abdominal discomfort. A pelvic ultrasound shows a 7 cm left ovarian cyst containing fat a...

Question

A 29-year-old woman presents to the GP with persistent lower abdominal discomfort. A pelvic ultrasound shows a 7 cm left ovarian cyst containing fat and calcification, consistent with a mature cystic teratoma (dermoid cyst). She is asymptomatic apart from mild discomfort. CA-125 is 15 U/mL. Which is the single most important reason for surgical referral?

Accepted Answer

Risk of torsion - the large size increases the risk of the ovary twisting on its pedicle

Answer

Risk of malignant transformation

Answer

Risk of haemorrhage

Answer

To improve fertility

Answer

To reduce CA-125

uk-drcog MCQ (SBA): Large Dermoid - Torsion Risk