OVARIAN CYSTS - CURRENT APPROACHES
Authors/Creators
- 1. Braila County Emergency Hospital
- 2. "Dunarea de Jos" University
- 3. Braila County Emergency Hospital– Romania
Description
Ovarian cysts represent a broad spectrum of adnexal lesions, ranging from benign functional cysts, to complex neoplasms with malignant potential. They are frequently encountered in clinical practice and often detected incidentally through imaging. Accurate diagnosis is essential to guide appropriate management, while avoiding unnecessary surgical intervention. Advances in imaging, including standardized risk stratification systems such as the Ovarian-Adnexal Reporting and Data System (O-RADS), have significantly improved diagnostic accuracy (1,2). Management strategies are increasingly individualized, based on patient age, symptomatology, cyst morphology, and malignancy risk. This review summarizes current evidence on the diagnosis, risk assessment, and treatment of ovarian cysts, emphasizing contemporary guidelines and studies published in the last 10 years.
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Annali d’Italia №76 2026-24-26.pdf
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Additional details
References
- 1. Strachowski LM, Froyman W, Patel MD, et al. O-RADS US v2022: An update from the American College of Radiology Ovarian-Adnexal Reporting and Data System ultrasound working group. Radiology. 2023; 307(2):e230685. 2. Andreotti RF, Timmerman D, Strachowski LM, et al. O-RADS US risk stratification and management system: A consensus guideline from the ACR Ovarian Adnexal Reporting and Data System Committee. Radiology. 2020; 294(1):168–185. 3. Timmerman D, Valentin L, Bourne TH, et al. Terms, definitions and measurements to describe the sonographic features of adnexal tumors: A consensus opinion from the IOTA group. Ultrasound Obstet Gynecol. 2016;48(1):1–10. 4. Van Calster B, Van Hoorde K, Valentin L, et al. Evaluating the performance of the ADNEX model for the diagnosis of ovarian tumors. BMJ. 2014;349:5920. 5. Royal College of Obstetricians and Gynaecologists. The management of ovarian cysts in postmenopausal women. Green-top Guideline No. 34. London: RCOG; 2025. 6. Kaijser J, Vandecaveye V, Deroose CM, et al. Imaging techniques for the preoperative diagnosis of adnexal tumours. Eur Radiol. 2019; 29(6):2906–2921. 7. Meys EMJ, Jeelof LS, Achten NMJ, et al. Estimating risk of malignancy in adnexal masses: External validation of the ADNEX model. Gynecol Oncol. 2016;143(1):73–80. 8. Valentin L. Pattern recognition of pelvic masses by gray-scale ultrasound imaging: The contribution of Doppler ultrasound. Best Pract Res Clin Obstet Gynaecol. 2019; 59:44–58.