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Tables
- Box 1: Risk of malignancy index II scoring system*
Category Score Menopausal score M = 1 for premenopausal M = 4 for postmenopausal Ultrasonography score One point each for: • Multilocular cyst • Presence of solid components • Evidence of intraabdominal metastases • Presence of ascites • Bilaterality of lesions U = 1 for none or one ultrasonography features U = 4 for two or more ultrasonography features CA 125 Level in serum (U/mL) Note: CA = cancer antigen, RMI = risk of malignancy index. Adapted from Journal of Obstetrics and Gynaecology Canada, Vol. 40, Tien Le and Christopher Giede, No. 230-Initial evaluation and referral guidelines for management of pelvic/ovarian cysts, e223–29, 2018, with permission from Elsevier. (5)
* RMI II score = M × U × CA 125. A score of 200 or more warrants direct referral to gynecologic oncology.
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