{"id":19334,"date":"2024-05-13T12:13:33","date_gmt":"2024-05-13T11:13:33","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=19334"},"modified":"2024-12-23T11:44:18","modified_gmt":"2024-12-23T11:44:18","slug":"post-menopausal-cysts","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/gynaecology\/ovarianpathology\/post-menopausal-cysts\/","title":{"rendered":"Post Menopausal Cysts"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"4469\" height=\"6196\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Post-Menopausal-Cysts-flowchart-2024.png\" alt=\"Post Menopausal Cysts flowchart 2024\" class=\"wp-image-19342\" \/><figcaption class=\"wp-element-caption\"><span class=\"media-credit\">NHS Lothian<\/span> flowchart copyright NHS Lothian<\/figcaption><\/figure>\n<\/div>\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/clinicalgenetics\/family-history-of-breast-and-or-ovarian-cancer\/\">Family History of Breast and or Ovarian Cancer \u2013 RefHelp (nhslothian.scot)<\/a><\/p>\n\n\n\n<p><strong>B.C. &amp; M.M. 13-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<p>Women with ovarian pathology identified on USS (see flowchart)<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<p>This guideline relates to women in whom ovarian pathology has been identified on USS.&nbsp; It does not relate to women presenting with acute symptoms in which a diagnosis of an ovarian cyst accident is suspected.&nbsp; In such cases, patients should be discussed with the on-call gynaecology doctor via switchboard.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><\/h4>\n\n\n\n<p>Sci-Gateway &gt; RIE or SJH &gt; Gynaecology &gt; Ovarian Pathology<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>The use of sequential or continuous HRT is not thought to affect Ca125, which when indicated, can be checked at any time.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>RCOG Green-top Guideline No. 34 Ovarian Cysts in Postmenopausal Women&nbsp;<a href=\"https:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/guidelines\/gtg34\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>https:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/guidelines\/gtg34\/<\/strong><\/a><\/p>\n\n\n\n<p>Simple Adnexal Cysts: SRU Consensus Conference Update on Follow up and Reporting. Radiology 2019; 293:359-371.<\/p>\n\n\n\n<p>Risk of Malignant Ovarian Cancer based upon ultrasonography findings in a large, unselected population. JAMA Internal Medicine 2019; 179:71-78. Smith-Bindman et al.<\/p>\n\n\n\n<p>Risk of complications in patients with conservatively managed ovarian tumours (IOTA5): a 2-year interim analysis of a multicentre, prospective, cohort study. Lancet Oncol 2019 20:448-458. Froyman et al.<\/p>\n\n\n\n<p>Ovarian cancer population screening and mortality after long-term follow-up in the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS): a randomised controlled trial. Lancet 2021; 397:2182-2193 Menon et al.<\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Family History of Breast and or Ovarian Cancer &ndash; RefHelp (nhslothian.scot) B.C. &amp; M.M. 13-05-24<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4241,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1097],"class_list":["post-19334","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-post-menopausal-cysts"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/gynaecology\/ovarian-pathology\/https-apps-nhslothian-scot-refhelp-post-menopausal-cysts\/\" rel=\"tag\">Post Menopausal Cysts<\/a>","rttpg_excerpt":"Family History of Breast and or Ovarian Cancer &ndash; RefHelp (nhslothian.scot) B.C. &amp; M.M. 13-05-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/19334","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=19334"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/19334\/revisions"}],"predecessor-version":[{"id":22082,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/19334\/revisions\/22082"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4241"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=19334"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=19334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}