Shown are transvaginal ultrasound images of two patients that demonstrate the 'tip-of-the-iceberg' sign: Some simple cysts may turn out to be paraovarian or paratubal cysts. Large quantities of ascites, lymphadenopathy and peritoneal deposits are strongly associated with an increased likelihood of malignancy.
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Hemorrhagic cysts typically resolve ultrasound syst 8 weeks. The table shows vaginal differential diagnosis for possible cystic ovarian masses. Risk factors Age is the most important risk factor for all women. The mentioned size cut-offs and follow-up frequencies are accepted practices but not ironclad rules. The natural history of incidentally detected pelvic masses with benign US morpgology is not known and therefore the optimal head is also unknown.
Diagnostic Work up of Ovarian Cysts
None of these isolated unilocular cysts turned out to be ovarian cancer 4. The US image shows an echogenic lesion. Step 3 To aid in selecting the proper work-up, the final step is to determine whether a patient falls into a low-risk category i. Hemorrhagic cysts typically resolve within 8 weeks. In women of any age, probable endometriomas require initial week follow-up to rule out a hemorrhagic cyst.