Workup for an undiagnosed pelvic mass includes ultrasound, abdominal/pelvic CT scan after a complete physical examination.
Laboratory evaluation for an undiagnosed pelvic mass includes CBC, chemistry profile, Ca125 and chest x-ray.
A biopsy or a surgical specimen would evaluate positive or unclear imaging results..
Guidelines suggest avoiding fine needle aspiration for potentially early stage disease, to avoid cyst rupture.
Fine needle aspiration is acceptable for non-surgical candidate with bulky disease