A 52-year-old postmenopausal woman presents to the GP after a routine pelvic ultrasound (performed during investigation of urinary symptoms) incidenta...

Question

A 52-year-old postmenopausal woman presents to the GP after a routine pelvic ultrasound (performed during investigation of urinary symptoms) incidentally reveals a 7 cm complex ovarian mass with solid and cystic components. Her CA-125 is 112 U/mL. What is the single most appropriate action?

Accepted Answer

Refer on a suspected cancer pathway (2-week wait) to gynaecological oncology

Answer

Repeat ultrasound in 3 months

Answer

Prescribe oral antibiotics for a possible tubo-ovarian abscess

Answer

Request CT chest, abdomen, and pelvis before referral

Answer

Request a Risk of Malignancy Index calculation and refer only if RMI >250

uk-drcog MCQ (SBA): Suspected Ovarian Cancer

A 52-year-old postmenopausal woman presents to the GP after a routine pelvic ultrasound (performed during investigation of urinary symptoms) incidentally reveals a 7 cm complex ovarian mass with solid and cystic components. Her CA-125 is 112 U/mL. What is the single most appropriate action?