Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas,...

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Ovarian Cysts – When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon Ashford & St. Peter’s Hospital

Transcript of Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas,...

Page 1: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Ovarian Cysts – When to ActVasileios Minas, PhD, MRCOG

Consultant Gynaecologist and Advanced Laparoscopic Surgeon

Ashford & St. Peter’s Hospital

Page 2: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Ovarian Cysts - something to worry about ?

Page 3: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Do nothing Re-scan Refer

SymptomsSize of cyst

Nature of cyst

Pre/Post-menopausal status

Tumor markers

Our Purpose

Page 4: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Do nothing Re-scan Refer

SymptomsSize of cyst

Nature of cyst

Pre/Post-menopausal status

Our Purpose

Tumor markers

Page 5: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Do nothing Re-scan Refer

SymptomsSize of cyst

Nature of cyst

Pre/Post-menopausal status

Our Purpose

Tumor markers

Page 6: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Do nothing Re-scan Refer

SymptomsSize of cyst

Nature of cyst

Pre/Post-menopausal status

Our Purpose

Tumor markers

Page 7: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Do nothing Re-scan Refer

SymptomsSize of cyst

Nature of cyst

Pre/Post-menopausal status

Our Purpose

Tumor markers

Page 8: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Pre-menopause

Physiological or Functional cysts

Follicles HaemorrhagicCorpus Luteum

Page 9: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Pre-menopause

Pathological Cysts

Cystadenoma Dermoid or TeratomaEndometrioma

Page 10: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Pre-menopause

Tumor Markers

AFPLDHHCG? CA125

Page 11: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Post-menopause

Page 12: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Post-menopause

Pathological Cysts

Cystadenoma Dermoid or TeratomaCystadenoCa

Page 13: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Pre-menopause

Tumor Markers

CA125

Page 14: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

In Summary

Pre-menopausal ovarian cyst

Simple <5cm Simple >5cm Complex

Do nothing Re-scan

< 7cm > 7cm

Refer

Physiological Pathological

Do nothing / Re-scan

Refer

Page 15: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

In Summary

Post-menopausal ovarian cyst

Simple <5cmnormal CA125

Simple >5cm Complex

Re-scan + CA1253/12 for 1 year

Refer Refer (TWR)

Page 16: Ovarian Cysts When to Act - Surrey Total Health · Ovarian Cysts –When to Act Vasileios Minas, PhD, MRCOG Consultant Gynaecologist and Advanced Laparoscopic Surgeon ... ovarian

Thank you. Any Questions ?