If, from the clinical picture, ultrasonographic findings and tumour markers, malignant disease is suspected, a CT scan of the abdomen and pelvis should be arranged, with onward referral to a gynaecological oncology multidisciplinary team.

Women with a RMI I of less than 200 (i.e. at low risk of malignancy) are suitable for laparoscopic management.

Laparoscopic management of ovarian cysts in postmenopausal women should comprise bilateral salpingo-oophorectomy rather than cystectomy.