0:01

So now that we have a basic approach to

0:03

O-RADS, what do we do with these lesions?

0:06

So this chart I find very helpful, and I

0:09

keep it in a place that's easily accessible,

0:11

so you can print it out, put it on the

0:13

wall in your office, or store it on your

0:15

phone, whatever's easier for you. But it's

0:17

just nice to have something to go back to

0:19

because it's so common to see complex

0:22

cysts, and it's difficult sometimes

0:24

to keep all of this information at hand.

0:27

So I find this very useful.

0:28

So we've got a chart that breaks down the

0:30

type of lesion, and it breaks it down by

0:33

premenopausal or postmenopausal status.

0:36

So again, hemorrhagic cysts less

0:39

than five centimeters in

0:40

premenopausal women, no further imaging.

0:43

And postmenopausal women,

0:45

we use ultrasound or MRI to characterize

0:47

further regardless of the size.

0:49

And then we've got again these simple benign

0:53

ovarian lesions or paraovarian lesions here.

0:55

And usually further imaging is really

0:57

unnecessary, and you can manage these clinically.

1:00

Endometrioma and dermoid, sometimes these

1:03

might be managed by the gynecologist,

1:05

depending on the size and

1:07

how much disease there is.

1:09

And then obviously with a suspected

1:11

malignancy, we use ultrasound

1:12

or MRI to characterize further.

1:15

And if you want a little bit more information,

1:18

this is the management algorithm from the JACR,

1:22

which talks about incidental adnexal masses.

1:26

So again, this is a very

1:27

good chart to just have

1:29

on hand. Again, it goes through the

1:31

menopausal category as well as the type of

1:34

lesion and the complexity of the lesion.