30/05/2026
𝗢-𝗥𝗔𝗗𝗦 𝟬𝟱 (𝗢𝘃𝗮𝗿𝗶𝗮𝗻-𝗔𝗱𝗻𝗲𝘅𝗮𝗹 𝗥𝗲𝗽𝗼𝗿𝘁𝗶𝗻𝗴 𝗮𝗻𝗱 𝗗𝗮𝘁𝗮 𝗦𝘆𝘀𝘁𝗲𝗺) 😭😭😭
📌 Risk Category
🔴 Very high risk lesion
🔴 Estimated risk of malignancy: ≥50%
📋 Typical Ultrasound Findings
🔴 Solid Irregular Adnexal Mass
🔸 Predominantly solid lesion
🔸 Irregular margins or contour
🔸 Heterogeneous echotexture
🔸 Internal vascularity is usually marked
🫧 Multilocular-Solid Irregular Lesion
🔸 Complex cystic and solid components
🔸 Thick irregular septations
🔸 Irregular mural nodules or soft tissue components
🔸 Marked internal vascularity
🌱 Papillary Projections
🔸 Multiple papillary projections
🔸 Irregular morphology
🔸 Vascular flow within projections
🌈 Doppler Findings
🔸 Moderate to marked vascularity
🔸 Chaotic internal blood flow
🔸 Low resistance flow may be seen
💧 Ascites
🔸 Moderate to large ascites may be present
🔸 Free fluid extending beyond pelvis increases suspicion
🔎 Associated Suspicious Features
🔴 Peritoneal deposits
🔴 Omental thickening/caking
🔴 Metastatic deposits
🔴 Enlarged lymph nodes
🔴 Bilateral adnexal involvement
🔴 Loss of normal ovarian architecture
⚠️ Highly Suspicious Characteristics
🔴 Irregular solid tissue with vascularity
🔴 Multiple vascular papillary projections
🔴 Large complex adnexal mass
🔴 Associated ascites or metastasis
📝 Example Impression
🔹 “Complex bilateral adnexal lesions fall under O-RADS 05 category, highly suspicious for malignancy.”
📚 Common Lesions Included in O-RADS 05
🔸 Ovarian carcinoma
🔸 High-grade serous malignancy
🔸 Metastatic ovarian disease
🔸 Advanced malignant adnexal tumor
🩺 Management (General)
🔹 Urgent gynecologic oncology referral advised
🔹 MRI/CT staging evaluation may be required
🔹 Tumor markers including CA-125 may be advised
🔹 Histopathological correlation recommended
🔹 Surgical management is usually required
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