Acr White Paper Adnexal Cyst

This paper summarizes the background objectives and process for developing 4 new white papers on adnexal vascular splenic nodal gallbladder and biliary incidental findings and ct and mri.

Acr white paper adnexal cyst. Once an adnexal cyst demonstrates sonographic features indicating a negligible risk of malignancy imaging follow up may still be reasonable for those cysts large enough to merit surveillance to distinguish a growing benign neoplasm from a nonneoplastic cyst. Management of incidental adnexal findings on ct and mri. This work was performed under the auspices of the acr through its incidental findings committee ii. However it is also reasonable to rely on clinical follow up alone patient symptoms and physical examination once a cyst has been well.

A simple cyst is a round or oval anechoic space with smooth thin walls posterior acoustic enhancement no solid component or septation and no internal flow at color doppler us. The adnexal subcommittee which included six radiologists with subspecialty expertise in abdominal imaging or ultrasound and one gynecologist developed this. Acr incidental adnexal mass on ct mr white paper. Simple adnexal cysts up to 10 cm in a patient of any age are highly likely to be benign with malignancy rates of less than 1 6 52 56 57.

This is an ongoing. These recommendations represent an update of those provided in our previous jacr 2013 white paper. Incidental adnexal cystic mass flowchart. These recommendations represent an update of those provided in our previous jacr 2013 white paper.

In the summer of 2015 under the supervision of the american college of radiology the ovarian adnexal reporting and data system o rads committee was formed with the purpose of creating a standardized lexicon for describing the imaging characteristics of ovarian and adnexal masses and applying it to a risk stratification and management system for evaluation of malignancy. A normal findings including hypodense ovary crenulated enhancing wall of corpus luteum asymmetric ovary within 95 confidence interval for size with normal shape. The acr incidental findings committee ifc presents recommendations for managing adnexal masses incidentally detected on ct and mri. To provide general guidance for managing incidentally discovered masses with the understanding that specific patient care will vary depending on each individual s circumstances the clinical environment available resources and the judgment of the practitioner.

For this white paper one category of incidental finding is the adnexal benign appearing cyst which is defined as 1 an oval or round 2 unilocular mass of uniform fluid signal and attenuation 3 with a regular or imperceptible wall 4 without solid areas or mural nodules and 5 10 cm in maximum diameter. A white paper of the acr incidental findings committee the acr incidental findings committee ifc presents recommendations for managing adnexal masses incidentally detected on ct and mri.