Skip to main content
. 2002 May 2;120(3):72–76. doi: 10.1590/S1516-31802002000300003

Table 1. Risk-of-malignancy index according to ultrasound findings, absolute values of CA 125 serum levels and menopausal status.

Ultrasound findings Score
Unilocular simple cysts with regular fine wall or lesion suggesting dermoid cyst. 0
Multilocular cyst with regular and smooth wall (<3 mm) or thick (>3 mm) or solid homogeneous tumor with hyperechogenic and well-defined wall. 1
Unilocular cyst or multilocular cyst with fine wall, with irregularity in the wall or septa (>3 mm). 2
Multilocular cyst with thick and irregular wall (irregularity <3 mm), and/or irregular septa; or cyst with papillary irregularity over 3 mm. 4
Complex lesion, with predominance of cystic or solid area, without irregularity in surface. 5
Complex lesion with irregularity in surface (<3 mm) or badly-defined and irregular wall; or solid heterogeneous lesion. 10
Multiplicity - Unilateral lesion or bilateral lesions. 0
Associated lesions: ascites 1
wall expansive involvement 2
greater than 3 mm
Ca 125 serum levels 0 - ∞
Premenopausal 1
Postmenopausal 3