Ovarian Cysts

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply with referral standards and include in particular:

  • Details of diagnosis – incidental finding or symptomatic
  • Details of any symptoms – pain/cyclical pain/dysmenorrhoea
  • Menstrual history – regular/irregular/changes
  • Gastrointestinal symptoms – note ovarian torsion or cancer can present as this
  • Age of patient – greater cancer risk in pre-pubertal and post-menopausal patients
  • Urinary symptoms
  • Include full details of any examination and ultrasound findings

Tests

  • Pelvic ultrasound – preferably by experienced gynaecological ultrasonographer
  • Tumour markers (CA 125, Ca 19.3, AFP, CEA, hCG, LDH, Inhibin) – when suspicious on ultrasound

Interim/GP management

To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.

For simple (non-suspicious) cysts <4cm – repeat ultrasound after menstrual period if applicable.

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Ovarian cysts associated with persistent or colicky pain, weight loss, anaemia, ascites

Irregularly contoured mass on abdominal or pelvic examination

Routine / category 3

Asymptomatic ovarian cysts

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

Routine:

Will be seen in turn.