Ovarian cancer (risk of malignancy index (RMI))

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RMI I is a product of the ultrasound scan score (U), menopausal status (M) and serum CA125 level.

The ultrasound result is scored 1 point for each of the following characteristics:

multilocular cysts, solid areas, metastases, ascites, bilateral lesions 

U = 0 for an ultrasound score of 0 points,

U = 1 for an ultrasound score of 1 point,

U = 3 for an ultrasound score of 2-5 points



Menopausal status is scored as 1 = pre-menopausal and 3 = post-menopausal. The classification of 'post-menopausal' is a woman who has had no period for more than 1 year or a woman over 50 who has had a hysterectomy



If RMI >= 250 then must be referred to a specialist multidisciplinary team

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Ovarian cancer (risk of malignancy index (RMI))

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