This protocol addresses postmenopausal women who have an ovarian endometriotic cyst that has grown after menopause, or that measures 9 cm or larger. Postmenopausal status is a recognised risk factor for malignant transformation of an endometriotic cyst, together with older age and larger tumour size.
The recommended approach in this setting involves surgical intervention directed at the cyst. The full protocol specifies the operative indications and decision criteria relevant to this postmenopausal presentation.
DOI: 10.1007/s13669-011-0002-3
It is generally accepted that an endometriotic cyst growing after menopause should be resected.
Kobayashi et al. demonstrated that the risk factors for malignant transformation of endometriotic cyst are older age, postmenopausal status, and larger tumor size.
They recommended considering surgery in postmenopausal women with an endometriotic cyst measuring 9 cm or larger.
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