A Patient with a Complete Mole Is Found to Have

A patient with a complete mole is found to have sizeable ovarian cysts that are presumed to be theca lutein cysts. All of the following are true about theca lutein cysts EXCEPT?

A) Such cysts arise more frequently in patients with complete moles
B) Theca lutein cysts are more likely seen in patients with very high hCG levels
C) Cysts are filled with serious or serosanguinous fluid and are usually bilateral
D) Often require active management with surgical intervention
E) Patients with large theca lutein cysts may be at increased risk for postmolar persistence of disease