PMID: 9175670Apr 1, 1997Paper

Simple ovarian cysts in premenopausal patients

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
B GerberT Reimer

Abstract

To compare clinical, ultrasonographical, and cytological findings with the histopathological diagnosis of unilocular, anechoic smooth-walled cystic ovarian tumors ('simple ovarian cysts'). In 140 premenopausal women simple ovarian cysts were removed by laparoscopy following ultrasound evaluation. In this retrospective study the histopathological diagnosis was correlated with clinical data, sonographic characteristics, macroscopic impression and with cytological findings. Histopathology revealed 21 (15.0%) functional cysts, 31 (22.1%) retention cysts, 9 (6.4%) endometriomas, 3 (2.1%) cystic teratomas, 12 (8.6%) undifferentiated cysts and 64 (45.7%) cystadenomas. No mentionable differences were correlated with the patient's age or the size of the cyst as determined by ultrasound. Classically, 'chocolate-like' cystic fluid characterizes endometriomas. However, in the present study cysts with different histopathological classifications exhibited similar fluid characteristics. The cytological diagnosis was correct in only 53 (37.9%) of all 140 cases. In premenopausal women differential diagnosis of ovarian cysts is not possible by clinical characterization, either by ultrasound or cytological evaluation. Simple ovarian cysts should ...Continue Reading

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Citations

May 5, 2004·Best Practice & Research. Clinical Obstetrics & Gynaecology·Dirk Timmerman
Aug 23, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Stefano GuerrieroGian Benedetto Melis
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Jan 23, 2010·AJR. American Journal of Roentgenology·Veena R Iyer, Susanna I Lee
Feb 4, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·M NikolaouG Decavalas
Nov 30, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Dirk TimmermanUNKNOWN International Ovarian Tumor Analysis Group
Nov 10, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Dong-Yun LeeDooSeok Choi
May 16, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·M J O'NeillP R Mueller
Sep 25, 2019·Radiology·Deborah LevineDouglas L Brown

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