Most ovarian cysts, even complex ones, are benign (non-cancerous). I know the CA125 test can have false positives (a high level when there is no cancer). But I am not familiar with the ROMA test. If you do not have a family history of ovarian cancer, then your lifetime risk is less than 2%.
Unfortunately, FAR too many women lose an ovary or ovaries (and even their uterus) unnecessarily. I lost both ovaries and my uterus for a 9.5cm benign ovarian cyst. My gynecologist used ovarian cancer scare tactics, sent me for an oncologist consult, and rushed me into surgery. Even though the frozen section done while I was in the operating room was benign, he proceeded to remove the rest of my organs. I aged horrifically fast and have struggled with the many life-shattering symptoms and issues of "surgical menopause."
If the cyst needs to be surgically removed, it is best to find a surgeon who does many cystectomies (cyst removals) so you have the best possible chance of keeping your ovary and its lifelong function of producing hormones that are essential for every aspect of health. Studies show the ovaries work into a woman's 80's. Removal of any part of the "reproductive" system can permanently disrupt / end the production of these hormones.
Keep in mind that fear makes for hasty and oftentimes poor decisions. We need to advocate for ourselves since we are the ones who have to live with the consequences. I hope this helps!
I am no doctor and have no clue. You really have to wait for the Oncology appointment. When is that I hope soon. The oncologist might not know until surgery. I do not know about the ROMA, I just had the CA125. Oncologists deal with complex cases not all are cancer. Even a benign cyst in the right place can cause a lot of symptoms.I know you are scared that is normal.
Alex