Common especially in adolescent girls, may be considerably large (weighing over 3-4 kg), benign / malignant or non-neoplastic in nature. Follicular and luteal cysts are physiological and do not require treatment. Laboratory (α-fetoprotein, β-hCG and CA-125) and US scan help in diagnosis. If tumor markers are negative and if the cyst size is <6 cm in diameter a conservative approach can be applied, otherwise surgery (in a classical way or laparoscopically) is indicated. Signs of torsion - diagnosed by Doppler ultrasonography as rapid increase in size and hypovascularization of the ovary - are indication for emergency surgery.
ASJC Scopus subject areas