This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Carcinoma Ovary, Subject name: Gynaecology & Obstetrics
Management of a 5 cm dermoid cyst which has undergone torsion at 10 weeks of pregnancy is: 
Select and explain. 
A. Wait and watch, B. Removal in 2nd trimester, C. Immediate removal, D. Serial USG monitoring
C: Immediate removal
Answer: C: Immediate removal 
Explanation: Ans. is c, i.e. Immediate removalRef: COGDT 11/ed, page 24Thus female is presenting with ovarian cyst at 10 weeks and the cyst has undergone torsion.Whenever a cyst undergoes torsion or any other complication, it should be removed immediately.