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Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement

Levine, Deborah MD*; Brown, Douglas L. MD†; Andreotti, Rochelle F. MD‡; Benacerraf, Beryl MD§; Benson, Carol B. MD§; Brewster, Wendy R. MD, PhD¶; Coleman, Beverly MD∥; DePriest, Paul MD**; Doubilet, Peter M. MD, PhD§; Goldstein, Steven R. MD††; Hamper, Ulrike M. MD‡‡; Hecht, Jonathan L. MD, PhD§§; Horrow, Mindy MD¶¶; Hur, Hye-Chun MD∥∥; Marnach, Mary MD***; Patel, Maitray D. MD†††; Platt, Lawrence D. MD‡‡‡; Puscheck, Elizabeth MD§§§; Smith-Bindman, Rebecca MD¶¶¶

doi: 10.1097/RUQ.0b013e3181f09099
Report of SRU Consensus Conference on Management of Adnexal Cysts

The Society of Radiologists in Ultrasound (SRU) convened a panel of specialists from gynecology, radiology, and pathology to arrive at a consensus regarding the management of ovarian and other adnexal cysts imaged sonographically in asymptomatic women. The panel met in Chicago, IL, on October 27-28, 2009, and drafted this consensus statement. The recommendations in this statement are based on analysis of current literature and common practice strategies, and are thought to represent a reasonable approach to asymptomatic ovarian and other adnexal cysts imaged at ultrasonography.

From the *Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; †Department of Radiology and Obstetrics, Mayo Clinic College of Medicine, Rochester, MN; ‡Department of Radiology, Vanderbilt University Medical Center, Nashville, TN; §Department of Radiology, Brigham and Womens Hospital and Harvard Medical School, Boston, MA; ¶Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC; ∥Department of Radiology, Hospital of University of Pennsylvania, Philadelphia, PA; **Department of Obstetrics and Gynecology, University of Kentucky, Lexington, KY; ††Department of Obstetrics and Gynecology, New York University Medical Center, New York, NY; ‡‡Departments of Radiology, Urology, and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD; §§Department of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; ¶¶Department of Radiology, Albert Einstein Medical Center, Philadelphia, PA; ∥∥ Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; ***Department of Gynecology, Mayo Clinic College of Medicine, Rochester, MN; †††Department of Radiology, Mayo Clinic College of Medicine, Scottsdale, AZ; ‡‡‡Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, CA; §§§Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI; ¶¶¶Department of Radiology; Epidemiology and Biostatistics; and Obstetrics, Gynecology, and Reproductive Medicine, University of California, San Francisco, CA.

Received for publication July 6, 2010; accepted July 6, 2010.

This article is reprinted with permission from the Society of Radiologists in Ultrasound.

Address correspondence to Deborah Levine, MD, Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA. (e-mail: dlevine@bidmc.harvard.edu).

Guarantors of integrity of entire study, D.L., D.L.B., B.B.; study concepts/study design or data acquisition or data analysis/interpretation, all authors; manuscript drafting or manuscript revision for important intellectual content, all authors; approval of final version of submitted manuscript, all authors; literature research, D.L., D.L.B., R.F.A., B.B., W.R.B., P.M.D., U.M.H., J.L.H., H.C.H., M.M., M.D.P., L.D.P., E.P., R.S.B.; clinical studies, B.C. E.P., R.S.B.; statistical analysis, R.S.B.; and manuscript editing, D.L., D.L.B., R.F.A., B.B., C.B.B., W.R.B., B.C., P.M.D., S.R.G., U.M.H., J.L.H., M.H., H.C.H., M.M., M.D.P., L.D.P., E.P.,R.S.B.

Authors stated no financial relationship to disclose.

© 2010 Lippincott Williams & Wilkins, Inc.