A 52 years postmenopausal female presents unilocular with a ovarian cyst of 6 cms with normal CA 125 levels management is;
A simple unilocular ovarian cyst less than 5 cm can be observed with repeat ultrasound and CA-125 every 3 months.Many resolve in 6 months.A persistant cyst calls for its removal laparoscopically or by laparotomy.Aspiration of the cyst is contraindicated because of low yield of malignant cells and possibility of spread of malignancy if the cyst proves malignant histologically.Many perform bilateral oophorectomy and hysterectomy SHAW&;S TEXTBOOK OF GYNECOLOGY,Pg no:388,15th edition
USG guided ovarian tapping
Wait and watch
Surgery
OCP
Gynaecological oncology