New Recommendations for Ultrasound Follow-Up of Ovarian and Other Adnexal Cysts

Guidelines will allay anxiety and diminish need for follow-up of benign cysts.

In women who undergo transvaginal ultrasound (TVUS) imaging of adnexal masses, benign ovarian and other adnexal cysts are commonly detected, leading to follow-up sonographic evaluation and, often, patient anxiety. The Society of Radiologists in Ultrasound recently convened a panel of gynecologists, radiologists, and pathologists to develop a consensus statement encompassing characteristic imaging findings for various adnexal cysts as well as follow-up recommendations. Highlights of the statement are as follows:

Simple cysts (reproductive age)

Follicles ≤3 cm in diameter are considered normal.
Cysts ≤5 cm: follow-up not required.
Cysts >5 to ≤7 cm: annual follow-up recommended.

Simple cysts (postmenopausal)

Cysts ≤1 cm are considered clinicall…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health