IOTA classification of ovarian cysts Flashcards Preview

Greentop - ovarian cysts in post menopausal women > IOTA classification of ovarian cysts > Flashcards

Flashcards in IOTA classification of ovarian cysts Deck (4)
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1

B-Mode (benign) features

- Unilocular cysts
- Presence of solid components where the largest solid component where the largest is

2

M-Mode (malignant) features
Any M - mode needs referral to gynae onc

- Irregular solid tumour
- Ascitis
- At least four papillary structures
- Irregular multilocular solid tumour with largest diameter > 100 mm
- Prominent blood flow on colour Doppler

3

ROMA score for malignancy

- Ca125 + HE4
- Cut off 2.27
- Not recommended

4

OVA 1 score for malignancy

- CA125, transthyretin [prealbumin], apolipoprotein A1, beta-2-microglobulin and transferrin
- Algorithm
- Cut off > 4.4 high risk of malignancy
- Poor specificity compared to RMI