Ovarian mass


Appropriate Tests


Diagnosis is based on clinical evaluation and imaging, followed by Ovarian biopsy.

Fine needle aspiration biopsy and cyst fluid aspiration is often used when the lesion is cystic and not complex on imaging.

Benign cysts


  • Simple and inclusion cysts


  • Follicular cysts


  • Cystadenomas




Borderline (proliferating) tumours, especially


  • Serous tumours


  • Mucinous tumours


Carcinoma, especially 

Preoperatively: blood collected for baseline Tumour markers eg, Carcinoembryonic Ag, CA 125, Inhibin.

Tests performed and followed up as appropriate to the operative findings.

  • Serous cystadenocarcinoma


  • Mucinous cystadenocarcinoma


Germ cell tumours, especially

Human chorionic gonadotrophin (beta subunit), Alpha-fetoprotein.

  • Teratoma (Dermoid)


  • Dysgerminoma


Sex cord stromal tumours


  • Fibroma/thecoma


  • Granulosa cell tumour Inhibin


Tubo-ovarian infection

See Abscess.

Go Back

Page last updated:

Copyright © 2021 RCPA. All rights reserved.